Saint Joseph Regional Medical Center-South Bend Campus, INC.
Saint Joseph Regional Medical Center-South Bend Campus, INC. was paid $10K by Medicaid between Nov 2021 and Dec 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
MISHAWAKA, IN 46545
Next to other Maternal & Fetal Medicine Physician providers in Indiana
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 | |
|---|---|---|---|
| 2021 | 13 | $835.76 | |
| 2022 | 130 | $4K | |
| 2023 | 84 | $5K |
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 | 57% | 92 | 79 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 66 | 59 | $4K |
| 90686 | 2.1% | 32 | 32 | $208.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.0% | 24 | 24 | $195.00 |
| 3008F | 0% | 13 | 13 | $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
| Provider | Location | Paid |
|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, INC. | Mishawaka, IN | $18.69M |
| Saint Joseph Regional Medical Center, INC. | Mishawaka, IN | $10.66M |
| Saint Joseph Regional Medical Center- Plymouth Campus INC | Plymouth, IN | $6.48M |
| Saint Joseph Regional Medical Center, INC. | Plymouth, IN | $5.55M |
| Saint Joseph Regional Medical Center-South Bend Campus, INC. | Mishawaka, IN | $4.81M |
| Saint Joseph Regional Medical Center-South Bend Campus, INC. | South Bend, IN | $923K |
| Saint Joseph Regional Medical Center- Plymouth Campus INC | Plymouth, IN | $771K |
| Saint Joseph Regional Medical Center-South Bend Campus, INC | Mishawaka, IN | $374K |
| Saint Joseph Regional Medical Center- Plymouth Campus INC | Plymouth, IN | $9K |
| Orthocare Pain and Rehabilitation Medicine LLC | Maple Shade, NJ | $1K |
| Saint Joseph Regional Medical Center-South Bend Campus, INC. | South Bend, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.