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

ST. Vincent Medical Group, INC.

ST. Vincent Medical Group, INC. was paid $246K by Medicaid between Jan 2018 and Nov 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoST. VINCENT MEDICAL GROUP, INC.
NORTH VERNON, IN 47265
33aNPI1003180548assigned 03/01/2012
28Total paid$246K
24GClaims8,878
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers

Next to other Rural Health Clinic/Center providers in Indiana

Rank by total paid#53 of 82
Median peer was paid$379K
This provider vs. median0.6×

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

$0$10K$20K2018201920202021202220232024
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
20184,550$95K
20194,328$151K
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 83% 6,874 5,874 $205K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 11% 516 410 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.2% 597 502 $5K
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 1.8% 76 69 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 43 42 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 172 76 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 197 141 $658.98
81002 <1% 390 317 $334.78
J1040 Injection, methylprednisolone acetate, 80 mg <1% 13 12 $116.22

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 officialMCANDREWS, KEVIN (VICE PRESIDENT)
Same official

Other billing entities under MCANDREWS, KEVIN

Full network →
ProviderLocationPaid
ST Vincent Pediatric SubspecialtiesIndianapolis, IN$20.77M

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