Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › WINCHESTER › ST. VINCENT MEDICAL GROUP, INC.

ST. VINCENT MEDICAL GROUP, INC.

NPI: 1144513375 · WINCHESTER, IN 47394 · Dermatology Physician · NPI assigned 05/20/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MORRIS, BRIAN controls 13+ related entities in our dataset. Read more

$70.38M
Total Medicaid Paid
4,623,293
Total Claims
3,700,071
Beneficiaries
342
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRIS, BRIAN (CFO)
NPI Enumeration Date05/20/2011

Related Entities

Other providers sharing the same authorized official: MORRIS, BRIAN

ProviderCityStateTotal Paid
ST MARY'S MEDICAL GROUP, LLC EVANSVILLE IN $31.16M
ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER INDIANAPOLIS IN $14.02M
ST. VINCENT MEDICAL GROUP, INC. NORTH VERNON IN $10.13M
ST. VINCENT MEDICAL GROUP, INC. WINCHESTER IN $2.96M
ST. VINCENT HOSPITAL & HEALTH CARE CENTER, INC. INDIANAPOLIS IN $2.50M
ST. VINCENT MEDICAL GROUP, INC. UNION CITY IN $1.39M
ST VINCENT PEDIATRIC SUBSPECIALTIES EVANSVILLE IN $613K
ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. KOKOMO IN $239K
ST. MARY'S HEALTH, INC EVANSVILLE IN $238K
ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. KOKOMO IN $56K
ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER CARMEL IN $41K
ST. JOSEPH PRIMARY CARE, LLC KOKOMO IN $14K
ST. VINCENT MEDICAL GROUP, INC. CRAWFORDSVILLE IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 333,117 $4.39M
2019 327,903 $9.79M
2020 282,450 $8.68M
2021 754,770 $12.82M
2022 1,168,306 $13.78M
2023 1,166,249 $11.78M
2024 590,498 $9.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 416,689 325,166 $24.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 384,722 308,472 $17.04M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 37,269 32,812 $3.16M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 36,940 30,106 $2.90M
99232 Subsequent hospital care, per day, moderate complexity 57,295 17,917 $1.81M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20,540 17,304 $1.60M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 18,241 16,361 $1.53M
99233 Prolong inpt eval add15 m 32,729 10,064 $1.44M
59426 26,290 14,353 $1.41M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 32,913 27,125 $1.38M
90472 Immunization administration, each additional vaccine (list separately) 62,941 52,792 $1.37M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 125,023 104,716 $1.35M
59425 20,832 14,819 $1.03M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9,905 3,164 $957K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14,903 12,910 $742K
99215 Prolong outpt/office vis 6,903 5,426 $527K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5,517 4,828 $503K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,637 4,891 $440K
99223 Prolong inpt eval add15 m 5,472 4,219 $394K
99222 Initial hospital care, per day, moderate complexity 6,959 5,358 $376K
80050 General health panel 6,957 6,144 $335K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 84,077 58,227 $309K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,642 9,617 $285K
59430 3,204 2,032 $225K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,118 2,581 $223K
93000 34,152 27,563 $216K
J0585 Injection, onabotulinumtoxina, 1 unit 352 204 $147K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,936 10,870 $142K
87428 4,544 4,092 $140K
83036 Hemoglobin; glycosylated (A1C) 27,897 22,291 $136K
99283 Emergency department visit for the evaluation and management, moderate severity 3,978 3,125 $133K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,032 1,606 $133K
80061 Lipid panel 14,700 12,989 $126K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,963 4,684 $124K
93320 5,894 5,129 $124K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,375 5,940 $96K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,262 4,489 $94K
36415 Collection of venous blood by venipuncture 42,148 33,523 $94K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,093 2,780 $93K
95886 969 858 $93K
99238 Hospital discharge day management, 30 minutes or less 3,220 2,521 $92K
99284 Emergency department visit for the evaluation and management, high severity 1,603 1,243 $82K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,356 3,296 $82K
93304 1,069 905 $74K
93296 12,233 9,220 $70K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,661 2,366 $70K
81002 28,879 17,786 $64K
59025 Fetal non-stress test 3,763 1,592 $62K
93325 9,660 8,063 $61K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,436 2,149 $60K
96127 24,703 14,378 $60K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,278 1,020 $60K
90686 40,455 34,041 $60K
81003 35,749 24,429 $57K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,564 2,205 $55K
99239 Hospital discharge day management, more than 30 minutes 1,251 927 $54K
36416 31,714 23,878 $54K
80053 Comprehensive metabolic panel 9,802 8,625 $52K
84443 Thyroid stimulating hormone (TSH) 6,674 5,802 $51K
00170 Anesthesia for intraoral procedures, including biopsy 1,007 700 $47K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,634 1,299 $44K
76830 Ultrasound, transvaginal 753 698 $43K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,785 5,429 $43K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,650 748 $42K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 574 463 $41K
90474 3,315 2,914 $40K
20610 1,674 1,224 $40K
90473 2,907 2,567 $37K
86803 3,172 2,833 $35K
90674 3,720 2,997 $34K
90837 Psychotherapy, 53 minutes with patient 1,247 635 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,399 7,381 $33K
93295 1,781 1,406 $31K
43450 1,133 891 $31K
45380 Colonoscopy, flexible; with biopsy, single or multiple 391 328 $31K
82607 3,193 2,793 $31K
93321 3,524 2,890 $29K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 254 236 $28K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,447 587 $28K
73630 1,567 911 $28K
99308 Subsequent nursing facility care, per day, straightforward 5,431 2,486 $27K
J1050 Injection, medroxyprogesterone acetate, 1 mg 599 541 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,306 3,956 $26K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 160 153 $26K
92551 4,297 3,808 $25K
95251 1,470 1,183 $24K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,231 1,715 $23K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 315 279 $23K
92552 1,448 1,283 $22K
84439 3,783 3,310 $21K
84153 1,438 1,309 $20K
99177 6,778 6,046 $20K
93308 1,699 1,368 $19K
90670 19,457 16,570 $19K
99401 1,541 722 $19K
92567 2,818 2,301 $18K
83655 1,779 1,546 $18K
99205 Prolong outpt/office vis 551 487 $18K
11056 780 655 $18K
82728 1,910 1,725 $17K
80048 Basic metabolic panel (calcium, ionized) 4,096 3,644 $17K
31575 457 343 $17K
31231 131 116 $17K
99152 2,416 1,768 $17K
90460 Immunization administration through 18 years of age via any route, first or only component 1,521 1,217 $17K
99000 7,208 6,478 $17K
82962 12,170 9,046 $17K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 300 268 $16K
94010 2,414 1,773 $16K
92025 1,373 913 $16K
82746 1,490 1,322 $16K
76825 366 310 $15K
93294 2,202 1,699 $15K
99460 260 218 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,616 616 $14K
81025 3,842 3,161 $14K
83550 2,419 2,175 $14K
11750 134 79 $13K
93880 458 361 $13K
99381 334 217 $13K
69210 661 483 $13K
93750 616 219 $12K
92134 684 498 $12K
67028 Intravitreal injection of a pharmacologic agent 228 151 $11K
92557 486 410 $11K
83540 2,472 2,223 $10K
99442 1,142 497 $10K
90461 672 544 $10K
82043 2,851 2,570 $10K
43235 159 135 $9K
82570 2,583 2,334 $8K
93990 236 157 $8K
99406 3,245 2,211 $7K
92250 472 355 $7K
J1040 Injection, methylprednisolone acetate, 80 mg 1,266 989 $7K
11721 749 633 $7K
99462 264 148 $7K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 70 45 $6K
81001 3,006 2,668 $6K
84481 491 426 $6K
85018 2,985 2,584 $6K
80305 585 390 $6K
42820 Tonsillectomy and adenoidectomy; younger than age 12 29 27 $6K
93018 1,527 1,294 $6K
76827 368 311 $5K
00731 105 81 $5K
93922 314 219 $5K
99221 229 196 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 229 88 $5K
99173 3,772 3,297 $5K
76937 1,290 841 $5K
99385 863 734 $4K
G0444 Annual depression screening, 5 to 15 minutes 1,455 1,087 $4K
83880 276 230 $4K
95117 861 221 $4K
99441 444 293 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 86 29 $4K
97802 250 202 $4K
99383 78 63 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 162 117 $4K
76819 Fetal biophysical profile; without non-stress testing 64 30 $3K
90715 1,388 1,156 $3K
66821 39 17 $3K
85027 831 752 $3K
17110 54 42 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 138 120 $3K
90723 11,657 9,943 $3K
94760 2,906 2,140 $3K
43644 14 13 $3K
90792 Psychiatric diagnostic evaluation with medical services 36 24 $3K
92083 102 77 $3K
99305 199 124 $3K
83735 627 545 $3K
92587 675 539 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 199 193 $2K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 379 311 $2K
93015 286 216 $2K
73564 114 89 $2K
80076 451 418 $2K
99219 74 61 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 191 162 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 106 61 $2K
87807 244 225 $2K
71046 Radiologic examination, chest; 2 views 215 188 $2K
0071A 155 88 $2K
95911 12 12 $2K
93923 133 119 $2K
99188 306 245 $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 880 573 $2K
99307 640 209 $2K
93458 269 248 $2K
96161 888 700 $2K
90677 2,833 2,626 $2K
90651 1,245 1,055 $2K
95115 255 101 $2K
0072A 106 60 $1K
93227 228 214 $1K
99495 43 28 $1K
54150 16 13 $1K
90680 7,179 6,201 $1K
82044 494 377 $1K
90649 34 29 $1K
94726 219 180 $1K
90661 608 581 $1K
85652 525 469 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 450 329 $1K
90647 9,831 8,453 $972.70
90633 4,581 3,899 $959.38
76801 17 12 $937.67
93971 79 76 $922.65
94729 225 186 $891.92
93970 20 14 $883.68
90734 616 541 $876.54
95811 15 13 $871.01
77001 173 119 $851.16
93224 43 42 $836.36
64615 18 12 $813.01
87430 48 48 $811.08
90656 1,176 1,128 $770.73
90620 33 26 $756.15
90688 683 578 $734.92
90480 250 152 $734.75
61885 18 14 $724.94
95810 Polysomnography; sleep staging with 4 or more additional parameters 15 12 $721.24
96160 538 458 $717.06
99382 60 48 $700.75
99443 69 32 $691.72
92136 46 26 $691.20
92133 31 31 $659.09
17000 23 16 $643.86
20550 22 13 $588.01
99001 243 216 $585.12
99386 517 452 $550.47
84550 167 146 $547.31
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 43 41 $543.25
90732 265 224 $540.00
J1030 Injection, methylprednisolone acetate, 40 mg 131 84 $537.58
86580 529 353 $524.50
J1010 Injection, methylprednisolone acetate, 1 mg 51 39 $486.32
93280 79 48 $484.55
99201 45 38 $435.89
0111A 12 12 $405.90
99422 22 13 $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) 189 109 $369.52
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 310 233 $368.76
92504 13 12 $334.64
99220 28 26 $241.87
90716 569 504 $240.35
92588 13 12 $226.27
76942 15 12 $222.90
94060 43 39 $204.82
95977 21 17 $191.72
90698 644 540 $188.42
00812 48 37 $173.09
93312 163 135 $158.66
82550 30 27 $120.78
93272 180 174 $116.25
99358 Prolong nursin fac eval 15m 115 64 $107.54
58300 171 149 $101.18
83721 14 12 $90.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 460 319 $87.53
3046F 16 14 $80.00
00840 18 12 $78.05
90660 59 56 $77.82
83690 12 12 $66.87
90662 38 26 $61.23
91318 54 29 $60.37
3044F 15 14 $60.00
90648 2,192 1,963 $55.62
86308 35 27 $53.38
99217 120 108 $41.85
94150 19 13 $38.70
36620 80 66 $38.00
J0696 Injection, ceftriaxone sodium, per 250 mg 265 218 $33.68
90700 253 229 $23.82
69209 46 40 $19.90
90685 193 147 $19.03
87210 121 95 $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) 80 75 $15.60
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 82 61 $5.99
J1885 Injection, ketorolac tromethamine, per 15 mg 357 280 $3.04
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 136 102 $0.88
3077F 6,699 5,877 $0.00
90672 641 544 $0.00
3078F 240,452 205,025 $0.00
1160F 466,196 385,364 $0.00
3725F 87,483 70,606 $0.00
1159F 421,799 348,193 $0.00
90681 919 780 $0.00
90707 517 463 $0.00
90710 330 294 $0.00
99497 424 300 $0.00
91311 41 41 $0.00
3288F 332 199 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 167 149 $0.00
11100 83 77 $0.00
10060 27 25 $0.00
93350 74 70 $0.00
90658 37 33 $0.00
90750 18 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 64 62 $0.00
90653 15 12 $0.00
85610 30 15 $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) 25 12 $0.00
90671 12 12 $0.00
1036F 391,462 313,636 $0.00
3008F 454,522 382,879 $0.00
3074F 286,116 242,792 $0.00
3079F 52,492 45,300 $0.00
1220F 9,210 7,686 $0.00
1034F 13,051 11,025 $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) 149 113 $0.00
1125F 28,885 22,623 $0.00
92558 1,846 1,521 $0.00
1126F 40,464 33,210 $0.00
3075F 7,551 6,665 $0.00
1035F 1,695 1,350 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 26 25 $0.00
3080F 2,210 1,975 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 285 221 $0.00
1111F 285 159 $0.00
2000F 64 62 $0.00
36556 200 138 $0.00
93016 258 246 $0.00
90697 593 542 $0.00
1170F 64 62 $0.00
J7999 Compounded drug, not otherwise classified 206 97 $0.00
91307 252 156 $0.00
59514 141 108 $0.00
93351 12 12 $0.00
G0008 Administration of influenza virus vaccine 429 296 $0.00
58301 26 26 $0.00
90696 84 68 $0.00
90744 62 56 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 147 88 $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 17 12 $0.00
90632 92 70 $0.00
90619 16 14 $0.00
99318 28 17 $0.00
J2785 Injection, regadenoson, 0.1 mg 14 12 $0.00
57454 13 12 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 13 $0.00