Saint Vincent Physician Services, INC.
Saint Vincent Physician Services, INC. was paid $6.08M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
WORCESTER, MA 01608
Next to other Anesthesiology Physician providers in Massachusetts
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 35,896 | $1.25M | |
| 2019 | 41,383 | $1.04M | |
| 2020 | 24,372 | $796K | |
| 2021 | 27,582 | $929K | |
| 2022 | 75,059 | $982K | |
| 2023 | 140,115 | $629K | |
| 2024incomplete | 90,382 | $460K |
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 | 53% | 63,856 | 60,958 | $3.25M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 26,920 | 25,453 | $1.01M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 4.3% | 9,239 | 8,956 | $259K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.8% | 4,234 | 3,850 | $169K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.6% | 38,947 | 33,074 | $157K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 2,079 | 1,963 | $126K |
| 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 | 1.7% | 1,305 | 1,298 | $106K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 3,453 | 1,761 | $95K |
| 93000 | 1.5% | 12,208 | 11,708 | $90K | |
| 88307 | 1.4% | 1,369 | 1,348 | $86K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 2,658 | 1,129 | $84K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 774 | 761 | $66K |
108 more codes
| 98928 | <1% | 1,788 | $59K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 817 | $49K |
| 88342 | <1% | 2,129 | $40K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 472 | $38K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 867 | $30K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,051 | $29K |
| 99219 | <1% | 451 | $25K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,246 | $22K |
| 99442 | <1% | 990 | $18K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 963 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 543 | $17K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 430 | $16K |
| 99205 | Prolong outpt/office vis | <1% | 130 | $16K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,287 | $14K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 569 | $11K |
| 95886 | <1% | 253 | $11K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 306 | $10K |
| 76830 | Ultrasound, transvaginal | <1% | 241 | $9K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 129 | $9K |
| 90674 | <1% | 460 | $8K | |
| 90686 | <1% | 554 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 822 | $7K |
| 76775 | <1% | 385 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 97 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 100 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,224 | $6K |
| 64483 | <1% | 102 | $6K | |
| 95251 | <1% | 462 | $6K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 122 | $6K |
| 98929 | <1% | 125 | $4K | |
| ATP14 | <1% | 535 | $4K | |
| 93298 | <1% | 313 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 76 | $4K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 123 | $4K |
| 99443 | <1% | 145 | $4K | |
| 81003 | <1% | 3,344 | $3K | |
| 64635 | <1% | 31 | $3K | |
| 88304 | <1% | 430 | $3K | |
| 82607 | <1% | 317 | $3K | |
| ATP17 | <1% | 323 | $3K | |
| 64484 | <1% | 88 | $2K | |
| 62323 | <1% | 51 | $2K | |
| ATP08 | <1% | 380 | $2K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 58 | $2K |
| 76818 | <1% | 36 | $2K | |
| 84153 | <1% | 136 | $2K | |
| 64636 | <1% | 31 | $2K | |
| 84439 | <1% | 306 | $2K | |
| 77427 | <1% | 22 | $1K | |
| 99220 | <1% | 12 | $1K | |
| 82746 | <1% | 127 | $1K | |
| 85027 | <1% | 265 | $1K | |
| 82728 | <1% | 117 | $1K | |
| 99217 | <1% | 38 | $1K | |
| 95811 | <1% | 12 | $982.70 | |
| 98927 | <1% | 28 | $969.45 | |
| 80061 | Lipid panel | <1% | 1,614 | $916.09 |
| 51798 | <1% | 170 | $802.48 | |
| 88341 | <1% | 25 | $778.33 | |
| 93297 | <1% | 85 | $757.37 | |
| 82043 | <1% | 242 | $709.21 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,249 | $692.09 |
| 94060 | <1% | 67 | $685.19 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 198 | $638.84 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,094 | $593.35 |
| ATP15 | <1% | 83 | $588.06 | |
| ATP11 | <1% | 84 | $580.92 | |
| 82570 | <1% | 198 | $530.79 | |
| 82962 | <1% | 1,185 | $522.56 | |
| G0008 | Administration of influenza virus vaccine | <1% | 182 | $503.59 |
| 93018 | <1% | 73 | $502.09 | |
| 93296 | <1% | 31 | $431.07 | |
| 85610 | <1% | 211 | $398.59 | |
| 81001 | <1% | 193 | $386.69 | |
| ATP10 | <1% | 51 | $341.95 | |
| 97803 | <1% | 119 | $338.00 | |
| 99225 | <1% | 19 | $290.66 | |
| 81025 | <1% | 41 | $271.99 | |
| 20553 | <1% | 14 | $220.52 | |
| 90662 | <1% | 13 | $208.70 | |
| ATP03 | <1% | 39 | $171.25 | |
| ATP13 | <1% | 17 | $152.46 | |
| ATP12 | <1% | 15 | $102.30 | |
| 83735 | <1% | 46 | $92.05 | |
| 94729 | <1% | 22 | $75.21 | |
| 84460 | <1% | 309 | $74.05 | |
| 84450 | <1% | 224 | $64.09 | |
| 94726 | <1% | 14 | $62.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 97 | $46.43 |
| 80076 | <1% | 142 | $44.98 | |
| 82550 | <1% | 24 | $38.02 | |
| 1036F | 0% | 31,924 | $0.00 | |
| 1126F | 0% | 11,473 | $0.00 | |
| 3008F | 0% | 36,626 | $0.00 | |
| 3074F | 0% | 23,025 | $0.00 | |
| 1125F | 0% | 7,496 | $0.00 | |
| 3075F | 0% | 1,326 | $0.00 | |
| 1034F | 0% | 1,465 | $0.00 | |
| 3079F | 0% | 5,205 | $0.00 | |
| 3044F | 0% | 972 | $0.00 | |
| 3080F | 0% | 101 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 28 | $0.00 |
| 1159F | 0% | 29,428 | $0.00 | |
| 3725F | 0% | 27,231 | $0.00 | |
| 1160F | 0% | 29,427 | $0.00 | |
| 3078F | 0% | 21,393 | $0.00 | |
| 3288F | 0% | 113 | $0.00 | |
| 3077F | 0% | 865 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.