Medicaid Provider Spending

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

NPI: 1013967736 · INDIANAPOLIS, IN 46260 · Hospitalist Physician · NPI assigned 05/11/2006

$20.77M
Total Medicaid Paid
500,901
Total Claims
424,863
Beneficiaries
114
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCANDREWS, KEVIN (VICE PRESIDENT)
Parent OrganizationST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
NPI Enumeration Date05/11/2006

Related Entities

Other providers sharing the same authorized official: MCANDREWS, KEVIN

ProviderCityStateTotal Paid
ST. VINCENT MEDICAL GROUP, INC. NORTH VERNON IN $246K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,607 $1.90M
2019 43,535 $2.28M
2020 37,071 $2.17M
2021 44,442 $2.92M
2022 72,775 $3.20M
2023 161,280 $4.10M
2024 95,191 $4.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 82,704 74,134 $5.86M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15,995 14,501 $1.66M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,320 31,209 $1.64M
99215 Prolong outpt/office vis 9,186 8,016 $993K
99480 Subsequent intensive care, per day, low birth weight infant 12,590 3,550 $979K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3,809 1,003 $936K
99479 Subsequent intensive care, per day, very low birth weight infant 10,446 3,279 $882K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13,937 11,133 $818K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 8,500 7,259 $746K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,804 3,459 $611K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,005 6,433 $484K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,714 431 $460K
99460 6,771 6,100 $428K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 8,697 7,099 $412K
99238 Hospital discharge day management, 30 minutes or less 8,104 7,279 $407K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,008 1,848 $278K
99205 Prolong outpt/office vis 1,757 1,530 $233K
76818 2,615 1,697 $227K
95782 2,227 2,084 $199K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,102 1,948 $175K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,974 2,709 $170K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,816 2,490 $133K
94375 4,874 4,512 $123K
76819 Fetal biophysical profile; without non-stress testing 3,615 1,936 $118K
97802 2,191 1,989 $117K
42820 Tonsillectomy and adenoidectomy; younger than age 12 558 531 $115K
95819 935 850 $112K
99462 3,382 2,564 $95K
99233 Prolong inpt eval add15 m 1,371 747 $88K
76820 3,414 1,734 $88K
96112 1,084 860 $79K
92567 10,869 9,531 $77K
97803 1,682 1,556 $71K
99232 Subsequent hospital care, per day, moderate complexity 1,783 900 $69K
96040 2,282 2,058 $67K
95816 323 308 $54K
99417 Prolong home eval add 15m 1,197 1,017 $51K
76830 Ultrasound, transvaginal 1,352 1,250 $50K
99239 Hospital discharge day management, more than 30 minutes 651 575 $48K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 273 132 $46K
99217 993 906 $45K
92579 1,429 1,331 $41K
90791 Psychiatric diagnostic evaluation 420 391 $38K
99219 406 385 $37K
99222 Initial hospital care, per day, moderate complexity 364 320 $34K
94664 3,256 3,007 $34K
92587 2,033 1,858 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,079 962 $27K
83036 Hemoglobin; glycosylated (A1C) 3,503 3,072 $26K
99223 Prolong inpt eval add15 m 191 177 $25K
90837 Psychotherapy, 53 minutes with patient 240 206 $20K
45380 Colonoscopy, flexible; with biopsy, single or multiple 81 63 $20K
95251 718 668 $18K
95951 90 54 $16K
76821 673 257 $15K
76825 119 103 $13K
90834 Psychotherapy, 45 minutes with patient 196 180 $12K
92555 926 819 $12K
36416 3,865 3,419 $10K
59425 161 51 $9K
81002 2,556 2,233 $7K
99468 12 12 $7K
92552 360 325 $7K
94760 5,570 5,161 $6K
59025 Fetal non-stress test 246 85 $5K
31624 36 25 $5K
99220 46 44 $4K
96111 65 55 $4K
99157 142 37 $4K
95720 30 24 $3K
72082 107 93 $3K
76827 91 77 $3K
99221 50 37 $3K
77073 163 129 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 46 41 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 27 24 $2K
31526 29 27 $2K
72081 134 104 $2K
95012 198 186 $2K
82962 805 607 $2K
94060 48 39 $1K
76801 128 124 $1K
90832 Psychotherapy, 30 minutes with patient 32 31 $1K
99000 560 439 $1K
94728 46 40 $1K
93325 84 70 $1K
54150 13 12 $1K
36415 Collection of venous blood by venipuncture 447 386 $1K
92652 16 13 $1K
99464 43 40 $973.17
99231 Subsequent hospital care, per day, straightforward or low complexity 81 65 $883.16
72170 84 63 $853.00
31622 16 12 $835.40
73620 50 24 $611.31
Q4050 Cast supplies, for unlisted types and materials of casts 121 80 $580.00
99201 61 57 $525.12
96415 27 24 $482.06
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 13 $274.75
96127 59 40 $186.80
96160 48 46 $106.93
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 46 41 $6.35
99442 40 33 $5.27
1160F 37,758 33,708 $0.00
3078F 16,571 15,231 $0.00
1159F 37,620 33,570 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 54 52 $0.00
3074F 18,901 17,306 $0.00
3008F 36,339 33,189 $0.00
1036F 25,806 23,487 $0.00
1126F 7,144 6,584 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 32 28 $0.00
3079F 141 129 $0.00
1125F 82 79 $0.00
3075F 12 12 $0.00