Medicaid Provider Spending

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

ST. FRANCIS PHYSICIAN SERVICES INC

NPI: 1841760998 · GREENVILLE, SC 29607 · Psychiatry Physician · NPI assigned 12/03/2018

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

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

$157K
Total Medicaid Paid
2,833
Total Claims
2,700
Beneficiaries
13
Codes Billed
2019-04
First Month
2022-05
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (COO)
Parent OrganizationST FRANCIS PHYSICIAN SERVICES INC
NPI Enumeration Date12/03/2018

Related Entities

Other providers sharing the same authorized official: GAY, WILBUR

ProviderCityStateTotal Paid
ST FRANCIS PHYSICIAN SERVICES INC MAULDIN SC $3.30M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 953 $37K
2020 737 $46K
2021 701 $44K
2022 442 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,950 1,857 $117K
90792 Psychiatric diagnostic evaluation with medical services 276 273 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 193 169 $9K
99215 Prolong outpt/office vis 121 113 $8K
99442 87 87 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 38 38 $1K
99406 46 46 $431.73
99441 13 12 $100.75
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 27 26 $0.00
3017F 13 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 44 42 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 13 12 $0.00