Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST Francis Physician Services INC

ST Francis Physician Services INC was paid $91K by Medicaid between Jan 2018 and Apr 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoST FRANCIS PHYSICIAN SERVICES INC
EASLEY, SC 29642
33aNPI1891722666assigned 06/27/2006
28Total paid$91K
24GClaims2,424
24DCodes billed10
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#206 of 696
Median peer was paid$14K
This provider vs. median6.3×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018609$19K
2019733$21K
2020233$12K
2021488$21K
2022282$14K
202345$3K
2024incomplete34$883.55
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52% 1,154 1,034 $48K
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 46% 773 680 $42K
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 1.5% 12 12 $1K
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 85 77 $0.00
3017F 0% 46 39 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 30 26 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 30 25 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 173 153 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 59 54 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 62 55 $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 (CFO)
Parent organizationST FRANCIS PHYSICIAN SERVICES INC
Same official

Other billing entities under GAY, WILBUR

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