Physician
ST Francis Physician Services INC
ST Francis Physician Services INC was paid $874K by Medicaid between Jan 2018 and May 2022, across 14 billing codes. Its largest line is 76825, — 22% of everything it billed.
33Billing provider infoST FRANCIS PHYSICIAN SERVICES INC
GREENVILLE, SC 29607
GREENVILLE, SC 29607
33aNPI1992076376assigned 01/18/2012
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$874K
24GClaims10,795
24DCodes billed14
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in South Carolina
Rank by total paid#3 of 11
Median peer was paid$6K
This provider vs. median151×
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
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 | 2,850 | $194K | |
| 2019 | 2,142 | $166K | |
| 2020 | 1,987 | $167K | |
| 2021 | 2,179 | $204K | |
| 2022 | 1,637 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76825 | 22% | 1,058 | 957 | $194K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 19% | 2,133 | 1,830 | $168K |
| 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 | 17% | 1,886 | 1,678 | $149K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 14% | 869 | 823 | $118K |
| 76819 | Fetal biophysical profile; without non-stress testing | 12% | 1,634 | 1,311 | $101K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 358 | 315 | $38K |
| 93325 | 3.7% | 1,451 | 1,345 | $33K | |
| 76820 | 3.6% | 884 | 702 | $32K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.4% | 337 | 263 | $21K |
| 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% | 71 | 69 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 31 | 29 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 57 | 53 | $3K |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.