Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Winchester › NPI 1144513375
Physician

ST. Vincent Medical Group, INC.

ST. Vincent Medical Group, INC. was paid $70.38M by Medicaid between Jan 2018 and Dec 2024, across 342 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoST. VINCENT MEDICAL GROUP, INC.
WINCHESTER, IN 47394
33aNPI1144513375assigned 05/20/2011
33bProvider typeDermatology Physician
28Total paid$70.38M
24GClaims4,623,293
24DCodes billed342
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dermatology Physician providers in Indiana

Rank by total paid#1 of 36
Median peer was paid$99K
This provider vs. median712×

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.

Entity ProliferationAuthorized official MORRIS, BRIAN controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018333,117$4.39M
2019327,903$9.79M
2020282,450$8.68M
2021754,770$12.82M
20221,168,306$13.78M
20231,166,249$11.78M
2024incomplete590,498$9.14M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 34% 416,689 325,166 $24.04M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 384,722 308,472 $17.04M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.5% 37,269 32,812 $3.16M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.1% 36,940 30,106 $2.90M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.6% 57,295 17,917 $1.81M
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 2.3% 20,540 17,304 $1.60M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.2% 18,241 16,361 $1.53M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.1% 32,729 10,064 $1.44M
59426 2.0% 26,290 14,353 $1.41M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.0% 32,913 27,125 $1.38M
90472 Immunization administration, each additional vaccine (list separately) 1.9% 62,941 52,792 $1.37M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.9% 125,023 104,716 $1.35M
330 more codes
59425 1.5% 20,832 $1.03M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.4% 9,905 $957K
99203 Doctor's office visit, new patient (routine) 1.1% 14,903 $742K
99215 Doctor's office visit, returning patient (complex) <1% 6,903 $527K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 5,517 $503K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 5,637 $440K
99223 Prolong inpt eval add15 m <1% 5,472 $394K
99222 Initial hospital care, per day, moderate complexity <1% 6,959 $376K
80050 General health panel <1% 6,957 $335K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 84,077 $309K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 11,642 $285K
59430 <1% 3,204 $225K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 3,118 $223K
93000 <1% 34,152 $216K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 352 $147K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12,936 $142K
87428 <1% 4,544 $140K
83036 Hemoglobin; glycosylated (A1C) <1% 27,897 $136K
99283 Emergency room visit (moderate) <1% 3,978 $133K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 5,032 $133K
80061 Lipid panel <1% 14,700 $126K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 10,963 $124K
93320 <1% 5,894 $124K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 6,375 $96K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,262 $94K
36415 Collection of venous blood by venipuncture <1% 42,148 $94K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 3,093 $93K
95886 <1% 969 $93K
99238 Hospital discharge day management, 30 minutes or less <1% 3,220 $92K
99284 Emergency room visit (serious) <1% 1,603 $82K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,356 $82K
93304 <1% 1,069 $74K
93296 <1% 12,233 $70K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,661 $70K
81002 <1% 28,879 $64K
59025 Fetal non-stress test <1% 3,763 $62K
93325 <1% 9,660 $61K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,436 $60K
96127 <1% 24,703 $60K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,278 $60K
90686 <1% 40,455 $60K
81003 <1% 35,749 $57K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 2,564 $55K
99239 Hospital discharge day management, more than 30 minutes <1% 1,251 $54K
36416 <1% 31,714 $54K
80053 Comprehensive metabolic panel <1% 9,802 $52K
84443 Thyroid stimulating hormone (TSH) <1% 6,674 $51K
00170 Anesthesia for intraoral procedures, including biopsy <1% 1,007 $47K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,634 $44K
76830 Ultrasound, transvaginal <1% 753 $43K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 6,785 $43K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 1,650 $42K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 574 $41K
90474 <1% 3,315 $40K
20610 <1% 1,674 $40K
90473 <1% 2,907 $37K
86803 <1% 3,172 $35K
90674 <1% 3,720 $34K
90837 Psychotherapy session, about an hour <1% 1,247 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 8,399 $33K
93295 <1% 1,781 $31K
43450 <1% 1,133 $31K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 391 $31K
82607 <1% 3,193 $31K
93321 <1% 3,524 $29K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 254 $28K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,447 $28K
73630 <1% 1,567 $28K
99308 Subsequent nursing facility care, per day, straightforward <1% 5,431 $27K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 599 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,306 $26K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 160 $26K
92551 <1% 4,297 $25K
95251 <1% 1,470 $24K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,231 $23K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 315 $23K
92552 <1% 1,448 $22K
84439 <1% 3,783 $21K
84153 <1% 1,438 $20K
99177 <1% 6,778 $20K
93308 <1% 1,699 $19K
90670 <1% 19,457 $19K
99401 <1% 1,541 $19K
92567 <1% 2,818 $18K
83655 <1% 1,779 $18K
99205 Prolong outpt/office vis <1% 551 $18K
11056 <1% 780 $18K
82728 <1% 1,910 $17K
80048 Basic metabolic panel (calcium, ionized) <1% 4,096 $17K
31575 <1% 457 $17K
31231 <1% 131 $17K
99152 <1% 2,416 $17K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,521 $17K
99000 <1% 7,208 $17K
82962 <1% 12,170 $17K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 300 $16K
94010 <1% 2,414 $16K
92025 <1% 1,373 $16K
82746 <1% 1,490 $16K
76825 <1% 366 $15K
93294 <1% 2,202 $15K
99460 <1% 260 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,616 $14K
81025 <1% 3,842 $14K
83550 <1% 2,419 $14K
11750 <1% 134 $13K
93880 <1% 458 $13K
99381 <1% 334 $13K
69210 <1% 661 $13K
93750 <1% 616 $12K
92134 <1% 684 $12K
67028 Intravitreal injection of a pharmacologic agent <1% 228 $11K
92557 <1% 486 $11K
83540 <1% 2,472 $10K
99442 <1% 1,142 $10K
90461 <1% 672 $10K
82043 <1% 2,851 $10K
43235 <1% 159 $9K
82570 <1% 2,583 $8K
93990 <1% 236 $8K
99406 <1% 3,245 $7K
92250 <1% 472 $7K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 1,266 $7K
11721 <1% 749 $7K
99462 <1% 264 $7K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 70 $6K
81001 <1% 3,006 $6K
84481 <1% 491 $6K
85018 <1% 2,985 $6K
80305 <1% 585 $6K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 29 $6K
93018 <1% 1,527 $6K
76827 <1% 368 $5K
00731 <1% 105 $5K
93922 <1% 314 $5K
99221 <1% 229 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 229 $5K
99173 <1% 3,772 $5K
76937 <1% 1,290 $5K
99385 <1% 863 $4K
G0444 Annual depression screening, 5 to 15 minutes <1% 1,455 $4K
83880 <1% 276 $4K
95117 <1% 861 $4K
99441 <1% 444 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 86 $4K
97802 <1% 250 $4K
99383 <1% 78 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 162 $4K
76819 Fetal biophysical profile; without non-stress testing <1% 64 $3K
90715 <1% 1,388 $3K
66821 <1% 39 $3K
85027 <1% 831 $3K
17110 <1% 54 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 138 $3K
90723 <1% 11,657 $3K
94760 <1% 2,906 $3K
43644 <1% 14 $3K
90792 Psychiatric diagnostic evaluation with medical services <1% 36 $3K
92083 <1% 102 $3K
99305 <1% 199 $3K
83735 <1% 627 $3K
92587 <1% 675 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 199 $2K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 379 $2K
93015 <1% 286 $2K
73564 <1% 114 $2K
80076 <1% 451 $2K
99219 <1% 74 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 191 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 106 $2K
87807 <1% 244 $2K
71046 Radiologic examination, chest; 2 views <1% 215 $2K
0071A <1% 155 $2K
95911 <1% 12 $2K
93923 <1% 133 $2K
99188 <1% 306 $2K
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 <1% 880 $2K
99307 <1% 640 $2K
93458 <1% 269 $2K
96161 <1% 888 $2K
90677 <1% 2,833 $2K
90651 <1% 1,245 $2K
95115 <1% 255 $2K
0072A <1% 106 $1K
93227 <1% 228 $1K
99495 <1% 43 $1K
54150 <1% 16 $1K
90680 <1% 7,179 $1K
82044 <1% 494 $1K
90649 <1% 34 $1K
94726 <1% 219 $1K
90661 <1% 608 $1K
85652 <1% 525 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 450 $1K
90647 <1% 9,831 $972.70
90633 <1% 4,581 $959.38
76801 <1% 17 $937.67
93971 <1% 79 $922.65
94729 <1% 225 $891.92
93970 <1% 20 $883.68
90734 <1% 616 $876.54
95811 <1% 15 $871.01
77001 <1% 173 $851.16
93224 <1% 43 $836.36
64615 <1% 18 $813.01
87430 <1% 48 $811.08
90656 <1% 1,176 $770.73
90620 <1% 33 $756.15
90688 <1% 683 $734.92
90480 <1% 250 $734.75
61885 <1% 18 $724.94
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 15 $721.24
96160 <1% 538 $717.06
99382 <1% 60 $700.75
99443 <1% 69 $691.72
92136 <1% 46 $691.20
92133 <1% 31 $659.09
17000 <1% 23 $643.86
20550 <1% 22 $588.01
99001 <1% 243 $585.12
99386 <1% 517 $550.47
84550 <1% 167 $547.31
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 43 $543.25
90732 <1% 265 $540.00
J1030 Injection, methylprednisolone acetate, 40 mg <1% 131 $537.58
86580 <1% 529 $524.50
J1010 Injection, methylprednisolone acetate, 1 mg <1% 51 $486.32
93280 <1% 79 $484.55
99201 <1% 45 $435.89
0111A <1% 12 $405.90
99422 <1% 22 $405.86
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 189 $369.52
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 310 $368.76
92504 <1% 13 $334.64
99220 <1% 28 $241.87
90716 <1% 569 $240.35
92588 <1% 13 $226.27
76942 <1% 15 $222.90
94060 <1% 43 $204.82
95977 <1% 21 $191.72
90698 <1% 644 $188.42
00812 <1% 48 $173.09
93312 <1% 163 $158.66
82550 <1% 30 $120.78
93272 <1% 180 $116.25
99358 Prolong nursin fac eval 15m <1% 115 $107.54
58300 <1% 171 $101.18
83721 <1% 14 $90.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 460 $87.53
3046F <1% 16 $80.00
00840 <1% 18 $78.05
90660 <1% 59 $77.82
83690 <1% 12 $66.87
90662 <1% 38 $61.23
91318 <1% 54 $60.37
3044F <1% 15 $60.00
90648 <1% 2,192 $55.62
86308 <1% 35 $53.38
99217 <1% 120 $41.85
94150 <1% 19 $38.70
36620 <1% 80 $38.00
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 265 $33.68
90700 <1% 253 $23.82
69209 <1% 46 $19.90
90685 <1% 193 $19.03
87210 <1% 121 $15.61
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% 80 $15.60
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 82 $5.99
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 357 $3.04
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 136 $0.88
3077F 0% 6,699 $0.00
90672 0% 641 $0.00
3078F 0% 240,452 $0.00
1160F 0% 466,196 $0.00
3725F 0% 87,483 $0.00
1159F 0% 421,799 $0.00
90681 0% 919 $0.00
90707 0% 517 $0.00
90710 0% 330 $0.00
99497 0% 424 $0.00
91311 0% 41 $0.00
3288F 0% 332 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 0% 167 $0.00
11100 0% 83 $0.00
10060 0% 27 $0.00
93350 0% 74 $0.00
90658 0% 37 $0.00
90750 0% 18 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 64 $0.00
90653 0% 15 $0.00
85610 0% 30 $0.00
G0315 Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) 0% 25 $0.00
90671 0% 12 $0.00
1036F 0% 391,462 $0.00
3008F 0% 454,522 $0.00
3074F 0% 286,116 $0.00
3079F 0% 52,492 $0.00
1220F 0% 9,210 $0.00
1034F 0% 13,051 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 149 $0.00
1125F 0% 28,885 $0.00
92558 0% 1,846 $0.00
1126F 0% 40,464 $0.00
3075F 0% 7,551 $0.00
1035F 0% 1,695 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 0% 26 $0.00
3080F 0% 2,210 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 285 $0.00
1111F 0% 285 $0.00
2000F 0% 64 $0.00
36556 0% 200 $0.00
93016 0% 258 $0.00
90697 0% 593 $0.00
1170F 0% 64 $0.00
J7999 Compounded drug, not otherwise classified 0% 206 $0.00
91307 0% 252 $0.00
59514 0% 141 $0.00
93351 0% 12 $0.00
G0008 Administration of influenza virus vaccine 0% 429 $0.00
58301 0% 26 $0.00
90696 0% 84 $0.00
90744 0% 62 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 0% 147 $0.00
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 17 $0.00
90632 0% 92 $0.00
90619 0% 16 $0.00
99318 0% 28 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 14 $0.00
57454 0% 13 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 14 $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.

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Authorized officialMORRIS, BRIAN (CFO)
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