Physician
ST Francis Physician Services INC
ST Francis Physician Services INC was paid $3.30M by Medicaid between Jan 2018 and Nov 2024, across 78 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoST FRANCIS PHYSICIAN SERVICES INC
MAULDIN, SC 29662
MAULDIN, SC 29662
33aNPI1841668670assigned 09/10/2015
33bProvider typeInternal Medicine Physician
28Total paid$3.30M
24GClaims91,651
24DCodes billed78
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#9 of 273
Median peer was paid$19K
This provider vs. median174×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GAY, WILBUR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 57,733 | $1.98M | |
| 2019 | 24,048 | $760K | |
| 2020 | 2,756 | $138K | |
| 2021 | 2,917 | $157K | |
| 2022 | 2,219 | $135K | |
| 2023 | 1,317 | $89K | |
| 2024incomplete | 661 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 47% | 22,232 | 19,868 | $1.55M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 18,194 | 16,367 | $875K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 1,610 | 1,579 | $137K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 1,268 | 1,140 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 1,128 | 1,114 | $99K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 1,035 | 1,020 | $93K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 5,509 | 2,641 | $74K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 4,636 | 4,514 | $69K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 3,824 | 3,636 | $52K |
| 90461 | 1.4% | 2,387 | 2,302 | $46K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 327 | 315 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,076 | 2,931 | $25K |
66 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 549 | $16K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,434 | $14K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 170 | $13K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 656 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 155 | $11K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 328 | $10K |
| 99406 | <1% | 601 | $6K | |
| 81003 | <1% | 2,434 | $5K | |
| 80053 | Comprehensive metabolic panel | <1% | 532 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 223 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 366 | $3K |
| 90686 | <1% | 1,478 | $3K | |
| 94010 | <1% | 119 | $3K | |
| 80061 | Lipid panel | <1% | 245 | $3K |
| 93000 | <1% | 285 | $3K | |
| 11721 | <1% | 174 | $2K | |
| 99051 | <1% | 131 | $2K | |
| 73630 | <1% | 106 | $2K | |
| 93922 | <1% | 39 | $2K | |
| 90732 | <1% | 17 | $1K | |
| 85018 | <1% | 416 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $962.40 |
| 94060 | <1% | 44 | $959.04 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 209 | $948.04 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $912.48 |
| 83655 | <1% | 62 | $845.90 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 58 | $807.61 |
| 84439 | <1% | 90 | $617.13 | |
| 81025 | <1% | 78 | $585.80 | |
| 83721 | <1% | 65 | $579.95 | |
| 85027 | <1% | 86 | $569.31 | |
| 74019 | <1% | 26 | $531.64 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $480.01 |
| 99442 | <1% | 15 | $444.10 | |
| 83550 | <1% | 33 | $339.68 | |
| 81002 | <1% | 110 | $325.74 | |
| 83540 | <1% | 35 | $267.53 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 28 | $199.08 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $150.68 |
| 90674 | <1% | 16 | $145.68 | |
| 90734 | <1% | 105 | $114.32 | |
| 82947 | <1% | 16 | $64.81 | |
| 90715 | <1% | 65 | $39.28 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $35.31 |
| 90633 | <1% | 108 | $31.32 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,026 | $0.00 |
| 2022F | 0% | 239 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 535 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 300 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 862 | $0.00 |
| 90670 | 0% | 115 | $0.00 | |
| 1090F | 0% | 133 | $0.00 | |
| 3046F | 0% | 62 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 13 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 43 | $0.00 |
| 3017F | 0% | 1,076 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 456 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 296 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 708 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 620 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,099 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 557 | $0.00 |
| 1101F | 0% | 414 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 13 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 28 | $0.00 |
| 90723 | 0% | 30 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGAY, WILBUR (CFO)
Parent organizationST FRANCIS PHYSICIAN SERVICES INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.