Medicaid Provider Spending

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

ST FRANCIS PHYSICIAN SERVICES INC

NPI: 1982927992 · GREENVILLE, SC 29607 · Hematology & Oncology Physician · NPI assigned 03/04/2010

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

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

$190K
Total Medicaid Paid
4,077
Total Claims
3,447
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (COO)
Parent OrganizationST FRANCIS PHYSICIAN SERVICES INC
NPI Enumeration Date03/04/2010

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
2018 939 $33K
2019 1,193 $42K
2020 481 $24K
2021 1,046 $67K
2022 418 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,434 2,101 $95K
99215 Prolong outpt/office vis 1,066 855 $81K
99205 Prolong outpt/office vis 96 88 $14K
3017F 56 49 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 70 55 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 19 12 $0.00
1101F 15 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 61 53 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 244 209 $0.00
1090F 16 13 $0.00