Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST FRANCIS PHYSICIAN SERVICES INC

NPI: 1841668670 · MAULDIN, SC 29662 · Internal Medicine Physician · NPI assigned 09/10/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAY, WILBUR controls 20+ related entities in our dataset. Read more

$3.30M
Total Medicaid Paid
91,651
Total Claims
81,775
Beneficiaries
78
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationST FRANCIS PHYSICIAN SERVICES INC
NPI Enumeration Date09/10/2015

Related Entities

Other providers sharing the same authorized official: GAY, WILBUR

ProviderCityStateTotal Paid
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC GLEN ALLEN VA $2.62M
BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC $2.14M
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $874K
MARYVIEW HOSPITAL LLC CHESAPEAKE VA $690K
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $658K
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $631K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $532K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $471K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC KING WILLIAM VA $448K
MARYVIEW HOSPITAL LLC SUFFOLK VA $445K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC EASLEY SC $363K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $320K
ST. FRANCIS PHYSICIAN SERVICES INC GREER SC $315K
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC WARREN OH $302K
MARYVIEW HOSPITAL LLC SUFFOLK VA $264K
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $216K
ST FRANCIS PHYSICIAN SERVICES INC SIMPSONVILLE SC $192K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $190K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 661 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,232 19,868 $1.55M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,194 16,367 $875K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,610 1,579 $137K
99215 Prolong outpt/office vis 1,268 1,140 $126K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,128 1,114 $99K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,035 1,020 $93K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,509 2,641 $74K
90460 Immunization administration through 18 years of age via any route, first or only component 4,636 4,514 $69K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,824 3,636 $52K
90461 2,387 2,302 $46K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 327 315 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,076 2,931 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 549 512 $16K
36415 Collection of venous blood by venipuncture 6,434 6,129 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete 170 167 $13K
71046 Radiologic examination, chest; 2 views 656 636 $12K
90792 Psychiatric diagnostic evaluation with medical services 155 147 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 328 321 $10K
99406 601 562 $6K
81003 2,434 2,323 $5K
80053 Comprehensive metabolic panel 532 509 $5K
84443 Thyroid stimulating hormone (TSH) 223 214 $4K
83036 Hemoglobin; glycosylated (A1C) 366 354 $3K
90686 1,478 1,397 $3K
94010 119 117 $3K
80061 Lipid panel 245 239 $3K
93000 285 253 $3K
11721 174 167 $2K
99051 131 131 $2K
73630 106 84 $2K
93922 39 38 $2K
90732 17 17 $1K
85018 416 408 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $962.40
94060 44 36 $959.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 209 206 $948.04
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $912.48
83655 62 59 $845.90
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 58 54 $807.61
84439 90 88 $617.13
81025 78 72 $585.80
83721 65 63 $579.95
85027 86 85 $569.31
74019 26 26 $531.64
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $480.01
99442 15 14 $444.10
83550 33 32 $339.68
81002 110 72 $325.74
83540 35 34 $267.53
96110 Developmental screening, with scoring and documentation, per standardized instrument 28 27 $199.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 42 39 $150.68
90674 16 13 $145.68
90734 105 102 $114.32
82947 16 16 $64.81
90715 65 63 $39.28
90472 Immunization administration, each additional vaccine (list separately) 12 12 $35.31
90633 108 105 $31.32
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,026 1,752 $0.00
2022F 239 214 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 535 488 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 300 272 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 862 743 $0.00
90670 115 111 $0.00
1090F 133 122 $0.00
3046F 62 56 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 13 13 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 43 37 $0.00
3017F 1,076 923 $0.00
G8432 Depression screening not documented, reason not given 456 412 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 296 253 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 708 579 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 620 533 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,099 940 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 557 476 $0.00
1101F 414 373 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 13 13 $0.00
G8756 No documentation of blood pressure measurement, reason not given 28 26 $0.00
90723 30 30 $0.00