Physician
ST Vincent Pediatric Subspecialties
ST Vincent Pediatric Subspecialties was paid $20.77M by Medicaid between Jan 2018 and Dec 2024, across 114 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoST VINCENT PEDIATRIC SUBSPECIALTIES
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
33aNPI1013967736assigned 05/11/2006
33bProvider typeHospitalist Physician
28Total paid$20.77M
24GClaims500,901
24DCodes billed114
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Indiana
Rank by total paid#1 of 35
Median peer was paid$10K
This provider vs. median2,041×
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
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 | 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 | |
| 2024incomplete | 95,191 | $4.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 82,704 | 74,134 | $5.86M |
| 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 | 8.0% | 15,995 | 14,501 | $1.66M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 34,320 | 31,209 | $1.64M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 9,186 | 8,016 | $993K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 4.7% | 12,590 | 3,550 | $979K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 4.5% | 3,809 | 1,003 | $936K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 4.2% | 10,446 | 3,279 | $882K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.9% | 13,937 | 11,133 | $818K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.6% | 8,500 | 7,259 | $746K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.9% | 3,804 | 3,459 | $611K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 7,005 | 6,433 | $484K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 2.2% | 1,714 | 431 | $460K |
102 more codes
| 99460 | 2.1% | 6,771 | $428K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.0% | 8,697 | $412K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 8,104 | $407K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 2,008 | $278K |
| 99205 | Prolong outpt/office vis | 1.1% | 1,757 | $233K |
| 76818 | 1.1% | 2,615 | $227K | |
| 95782 | <1% | 2,227 | $199K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 2,102 | $175K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 3,974 | $170K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 2,816 | $133K |
| 94375 | <1% | 4,874 | $123K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 3,615 | $118K |
| 97802 | <1% | 2,191 | $117K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 558 | $115K |
| 95819 | <1% | 935 | $112K | |
| 99462 | <1% | 3,382 | $95K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,371 | $88K |
| 76820 | <1% | 3,414 | $88K | |
| 96112 | <1% | 1,084 | $79K | |
| 92567 | <1% | 10,869 | $77K | |
| 97803 | <1% | 1,682 | $71K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,783 | $69K |
| 96040 | <1% | 2,282 | $67K | |
| 95816 | <1% | 323 | $54K | |
| 99417 | Prolong home eval add 15m | <1% | 1,197 | $51K |
| 76830 | Ultrasound, transvaginal | <1% | 1,352 | $50K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 651 | $48K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 273 | $46K |
| 99217 | <1% | 993 | $45K | |
| 92579 | <1% | 1,429 | $41K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 420 | $38K |
| 99219 | <1% | 406 | $37K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 364 | $34K |
| 94664 | <1% | 3,256 | $34K | |
| 92587 | <1% | 2,033 | $28K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,079 | $27K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,503 | $26K |
| 99223 | Prolong inpt eval add15 m | <1% | 191 | $25K |
| 90837 | Psychotherapy session, about an hour | <1% | 240 | $20K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 81 | $20K |
| 95251 | <1% | 718 | $18K | |
| 95951 | <1% | 90 | $16K | |
| 76821 | <1% | 673 | $15K | |
| 76825 | <1% | 119 | $13K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 196 | $12K |
| 92555 | <1% | 926 | $12K | |
| 36416 | <1% | 3,865 | $10K | |
| 59425 | <1% | 161 | $9K | |
| 81002 | <1% | 2,556 | $7K | |
| 99468 | <1% | 12 | $7K | |
| 92552 | <1% | 360 | $7K | |
| 94760 | <1% | 5,570 | $6K | |
| 59025 | Fetal non-stress test | <1% | 246 | $5K |
| 31624 | <1% | 36 | $5K | |
| 99220 | <1% | 46 | $4K | |
| 96111 | <1% | 65 | $4K | |
| 99157 | <1% | 142 | $4K | |
| 95720 | <1% | 30 | $3K | |
| 72082 | <1% | 107 | $3K | |
| 76827 | <1% | 91 | $3K | |
| 99221 | <1% | 50 | $3K | |
| 77073 | <1% | 163 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 46 | $2K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 27 | $2K |
| 31526 | <1% | 29 | $2K | |
| 72081 | <1% | 134 | $2K | |
| 95012 | <1% | 198 | $2K | |
| 82962 | <1% | 805 | $2K | |
| 94060 | <1% | 48 | $1K | |
| 76801 | <1% | 128 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 32 | $1K |
| 99000 | <1% | 560 | $1K | |
| 94728 | <1% | 46 | $1K | |
| 93325 | <1% | 84 | $1K | |
| 54150 | <1% | 13 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 447 | $1K |
| 92652 | <1% | 16 | $1K | |
| 99464 | <1% | 43 | $973.17 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 81 | $883.16 |
| 72170 | <1% | 84 | $853.00 | |
| 31622 | <1% | 16 | $835.40 | |
| 73620 | <1% | 50 | $611.31 | |
| Q4050 | Cast supplies, for unlisted types and materials of casts | <1% | 121 | $580.00 |
| 99201 | <1% | 61 | $525.12 | |
| 96415 | <1% | 27 | $482.06 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $274.75 |
| 96127 | <1% | 59 | $186.80 | |
| 96160 | <1% | 48 | $106.93 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 46 | $6.35 |
| 99442 | <1% | 40 | $5.27 | |
| 1160F | 0% | 37,758 | $0.00 | |
| 3078F | 0% | 16,571 | $0.00 | |
| 1159F | 0% | 37,620 | $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 | 0% | 54 | $0.00 |
| 3074F | 0% | 18,901 | $0.00 | |
| 3008F | 0% | 36,339 | $0.00 | |
| 1036F | 0% | 25,806 | $0.00 | |
| 1126F | 0% | 7,144 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 32 | $0.00 |
| 3079F | 0% | 141 | $0.00 | |
| 1125F | 0% | 82 | $0.00 | |
| 3075F | 0% | 12 | $0.00 |
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)
Parent organizationST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
| Provider | Location | Paid |
|---|---|---|
| ST. Vincent Medical Group, INC. | North Vernon, IN | $246K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.