Physician
ST Francis Hospital INC.
ST Francis Hospital INC. was paid $349K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoST FRANCIS HOSPITAL INC.
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1871647404assigned 01/22/2007
33bProvider typeFamily Medicine Physician
28Total paid$349K
24GClaims22,515
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#29 of 97
Median peer was paid$101K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2018 | 3,933 | $6K | |
| 2019 | 3,033 | $28K | |
| 2020 | 2,207 | $68K | |
| 2021 | 2,184 | $68K | |
| 2022 | 1,940 | $80K | |
| 2023 | 5,186 | $58K | |
| 2024incomplete | 4,032 | $42K |
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 | 50% | 4,681 | 3,892 | $174K |
| 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 | 29% | 1,973 | 1,599 | $100K |
| 90686 | 4.7% | 1,568 | 1,339 | $16K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 165 | 144 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 206 | 191 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 224 | 196 | $8K |
| 92551 | 1.9% | 1,176 | 1,030 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 1,891 | 1,589 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 40 | 32 | $4K |
| 99173 | <1% | 1,056 | 944 | $2K | |
| 96127 | <1% | 1,078 | 949 | $1K | |
| 90656 | <1% | 70 | 70 | $1K |
26 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 81002 | <1% | 593 | $811.65 | |
| 99442 | <1% | 18 | $601.64 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 68 | $406.68 |
| 99441 | <1% | 15 | $301.56 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16 | $205.56 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 255 | $185.81 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $165.22 |
| 90688 | <1% | 36 | $44.20 | |
| 90658 | <1% | 19 | $34.45 | |
| 90670 | <1% | 13 | $22.07 | |
| 3725F | 0% | 43 | $0.00 | |
| 90461 | 0% | 284 | $0.00 | |
| 3078F | 0% | 972 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 952 | $0.00 |
| 3077F | 0% | 21 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 13 | $0.00 |
| 3008F | 0% | 2,740 | $0.00 | |
| 3075F | 0% | 306 | $0.00 | |
| 3079F | 0% | 469 | $0.00 | |
| 3044F | 0% | 206 | $0.00 | |
| 3074F | 0% | 1,083 | $0.00 | |
| 1036F | 0% | 123 | $0.00 | |
| 4037F | 0% | 83 | $0.00 | |
| 94760 | 0% | 15 | $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 officialSZAFRAN, DALE (DIRECTOR OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| ST. Francis Hospital INC. | Wilmington, DE | $201K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.