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    OpenPayerNPI Medicare & MedicaidSt. Francis Hospital Inc
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    St. Francis Hospital Inc — Billing Profile & Reimbursement Data

    NPI 1023418035 · Greenville, SC · General Acute Care Hospital

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    St. Francis Hospital Inc is a general acute care hospital provider located in Greenville, South Carolina. This profile covers 0 Medicare and 77 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt. Francis Hospital Inc
    Address104 Innovation Dr
    CityGreenville
    StateSC
    ZIP29607
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 27, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    77 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10,450$180$1.8M
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…6,620$270$1.8M
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…3,200$430$1.4M
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.14,990$70$1.1M
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.3,820$190$722.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…6,530$110$698.7K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries700$680$474K
    36591The provider collects a blood specimen from a completely implantable venous access device that he placed in a prior procedure.1,780$130$238.3K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.1,000$170$165.7K
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…390$420$163.5K

    Showing 1–10 of 77

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. South Carolina median

    77 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries520350$1,170$776.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.492101,470$60$615K
    J7030Infusion, normal saline solution , 1000 cc36702,620$60$337.3K
    J9271Injection, pembrolizumab, 1 mg610380$540$322.1K
    J7050Infusion, normal saline solution, 250 cc8501,140$100$309.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…950520$110$277.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.67710350$60$247.2K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.241001,390$80$246.6K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.691002,200$50$238K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…1440580$160$229.6K

    Showing 1–10 of 77

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St. Francis Hospital Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Francis Hospital IncSCGeneral Acute Care Hospital$0$17.8M
    St Francis Hospital, Inc.SCGeneral Acute Care Hospital$0$13M
    A. Thomas SiachosSCCardiovascular Disease Physician$429.2K$0
    Craig MccotterNCClinical Cardiac Electrophysiology Physician$428.2K$0
    Edward StewartSCCardiovascular Disease Physician$420.4K$0
    Matthew SellersSCClinical Cardiac Electrophysiology Physician$417K$0
    Jon BittrickSCCardiovascular Disease Physician$340.4K$0
    James MerriamSCCardiovascular Disease Physician$332.5K$0
    Matthew NessmithSCCardiovascular Disease Physician$296.9K$0
    Jeffrey SenfieldSCClinical Cardiac Electrophysiology Physician$288.1K$0

    Nearby Providers

    Other providers in the same ZIP code as St. Francis Hospital Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health University Medical GroupSCFamily Medicine Physician$0$171.7M
    Greenville County Disabilities And Special Needs BoardSCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$51.7M
    Heart Of The Carolinas Medical Supply, LLCSCNursing Care Agency$0$36.4M
    Caris Healthcare LLCSCCommunity Based Hospice Care Agency$0$36.3M
    Greenville County Commission On Alcohol And Drug AbuseSCSubstance Use Disorder Rehabilitation Clinic/Center$0$12.7M
    Tribe513, P.A.SCPediatric Adolescent Medicine Physician$0$8.6M
    Luxor Scientific, LLCSCClinical Medical Laboratory$2.2M$5.6M
    Pleasantburg Drive Dental Health Center, P.C.SCGeneral Practice Dentistry$0$6.5M
    Inspirium Ihc Upstate, LLCSCHome Health Agency$0$6.4M
    Bon Secours Ambulatory Services - St. Francis, LLCSCUrgent Care Clinic/Center$0$6.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Carolina Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    St. Francis Hospital Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina