Physician
ST. Francis Hospital INC.
ST. Francis Hospital INC. was paid $487K by Medicaid between Jul 2019 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoST. FRANCIS HOSPITAL INC.
WILMINGTON, DE 19805
WILMINGTON, DE 19805
33aNPI1861525925assigned 03/14/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$487K
24GClaims13,992
24DCodes billed31
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Delaware
Rank by total paid#6 of 28
Median peer was paid$31K
This provider vs. median16×
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.
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 | |
|---|---|---|---|
| 2019 | 116 | $2K | |
| 2020 | 2,519 | $106K | |
| 2021 | 2,384 | $102K | |
| 2022 | 2,201 | $76K | |
| 2023 | 4,944 | $140K | |
| 2024incomplete | 1,828 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55% | 4,938 | 3,418 | $269K |
| S0612 | Annual gynecological examination, established patient | 15% | 919 | 789 | $73K |
| 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 | 8.6% | 424 | 363 | $42K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.8% | 378 | 310 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 264 | 206 | $18K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.6% | 144 | 128 | $13K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 201 | 164 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 179 | 154 | $6K |
| 96127 | 1.3% | 1,773 | 1,485 | $6K | |
| 81025 | <1% | 772 | 642 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | 26 | $4K |
| S0610 | Annual gynecological examination, new patient | <1% | 27 | 24 | $3K |
19 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 139 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 27 | $2K |
| 99385 | <1% | 16 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 21 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $447.78 |
| 90686 | <1% | 16 | $191.91 | |
| 81002 | <1% | 49 | $145.01 | |
| 99459 | <1% | 13 | $87.45 | |
| 3078F | 0% | 711 | $0.00 | |
| 3725F | 0% | 553 | $0.00 | |
| 3077F | 0% | 51 | $0.00 | |
| 3074F | 0% | 815 | $0.00 | |
| 1000F | 0% | 520 | $0.00 | |
| 3008F | 0% | 613 | $0.00 | |
| 3075F | 0% | 98 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | $0.00 |
| 3079F | 0% | 235 | $0.00 | |
| 3080F | 0% | 16 | $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 officialCRAIG, SYLVIA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| ST Francis Hospital INC | Wilmington, DE | $3.84M |
| ST Francis Hospital INC | Wilmington, DE | $709K |
| ST. Francis Hospital INC. | Wilmington, DE | $476K |
| ST. Francis Hospital INC | Wilmington, DE | $35K |
| ST. Francis Hospital INC. | Wilmington, DE | $15K |
| ST Francis Hospital INC | Wilmington, DE | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.