Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Greenville › NPI 1841760998
Physician

ST. Francis Physician Services INC

ST. Francis Physician Services INC was paid $157K by Medicaid between Apr 2019 and May 2022, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoST. FRANCIS PHYSICIAN SERVICES INC
GREENVILLE, SC 29607
33aNPI1841760998assigned 12/03/2018
33bProvider typePsychiatry Physician
28Total paid$157K
24GClaims2,833
24DCodes billed13
24AFirst – last monthApr 2019 – May 2022
Compared with peers

Next to other Psychiatry Physician providers in South Carolina

Rank by total paid#22 of 61
Median peer was paid$28K
This provider vs. median5.7×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2019953$37K
2020737$46K
2021701$44K
2022442$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 74% 1,950 1,857 $117K
90792 Psychiatric diagnostic evaluation with medical services 13% 276 273 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.5% 193 169 $9K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.0% 121 113 $8K
99442 1.1% 87 87 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 38 38 $1K
99406 <1% 46 46 $431.73
99441 <1% 13 12 $100.75
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 27 26 $0.00
3017F 0% 13 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 12 12 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 44 42 $0.00
1 more codes
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 13 $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 (COO)
Parent organizationST FRANCIS PHYSICIAN SERVICES INC
Same official

Other billing entities under GAY, WILBUR

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.