ST Mary's Medical Group, LLC
ST Mary's Medical Group, LLC was paid $31.16M by Medicaid between Jan 2018 and Dec 2024, across 217 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
EVANSVILLE, IN 47750
Next to other Psychologist 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 | |
|---|---|---|---|
| 2018 | 129,109 | $2.11M | |
| 2019 | 135,202 | $3.86M | |
| 2020 | 121,130 | $3.50M | |
| 2021 | 207,387 | $5.49M | |
| 2022 | 367,261 | $5.65M | |
| 2023 | 512,225 | $5.59M | |
| 2024incomplete | 300,538 | $4.96M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 212,422 | 176,836 | $9.79M |
| 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 | 25% | 139,538 | 112,511 | $7.86M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 18,835 | 16,288 | $1.54M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 17,339 | 16,322 | $1.49M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.6% | 63,670 | 18,822 | $1.42M |
| 59426 | 3.5% | 14,596 | 8,366 | $1.09M | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 24,946 | 22,908 | $654K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 7,439 | 7,145 | $643K |
| 59425 | 1.7% | 8,682 | 7,043 | $530K | |
| 99223 | Prolong inpt eval add15 m | 1.7% | 7,724 | 5,925 | $527K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 35,597 | 32,370 | $412K |
| 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 | 1.1% | 5,357 | 4,594 | $351K |
205 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 6,044 | $347K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.1% | 8,998 | $329K |
| 87428 | <1% | 9,179 | $279K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 10,037 | $272K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,243 | $242K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 3,967 | $239K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,170 | $181K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 4,528 | $177K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 3,782 | $167K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,809 | $163K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,526 | $159K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,638 | $144K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 2,711 | $125K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 16,636 | $123K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 8,988 | $122K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,187 | $122K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,411 | $96K |
| 90473 | <1% | 6,475 | $82K | |
| 99220 | <1% | 1,190 | $75K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 26,182 | $74K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 2,457 | $70K |
| 76830 | Ultrasound, transvaginal | <1% | 1,023 | $64K |
| 80053 | Comprehensive metabolic panel | <1% | 13,807 | $59K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,339 | $58K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 16,872 | $55K |
| 76536 | <1% | 702 | $46K | |
| 81003 | <1% | 25,555 | $45K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,584 | $43K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,706 | $40K |
| 93320 | <1% | 2,748 | $39K | |
| 93016 | <1% | 4,197 | $37K | |
| 93000 | <1% | 5,958 | $33K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 475 | $32K |
| 76818 | <1% | 741 | $31K | |
| 99219 | <1% | 638 | $30K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,959 | $30K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,548 | $27K |
| 90686 | <1% | 13,545 | $25K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,822 | $25K |
| 93458 | <1% | 224 | $22K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 950 | $21K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,358 | $19K |
| 99000 | <1% | 7,938 | $17K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 387 | $17K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 546 | $17K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,134 | $17K |
| 99217 | <1% | 766 | $16K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 983 | $16K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,244 | $16K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 239 | $16K |
| 92551 | <1% | 1,974 | $15K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 426 | $13K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 141 | $12K |
| 93296 | <1% | 2,001 | $12K | |
| 36416 | <1% | 5,334 | $11K | |
| 59430 | <1% | 400 | $10K | |
| 81025 | <1% | 2,098 | $9K | |
| 90674 | <1% | 725 | $8K | |
| 93325 | <1% | 3,366 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 138 | $8K |
| 93018 | <1% | 1,393 | $8K | |
| 96161 | <1% | 3,437 | $8K | |
| 99460 | <1% | 118 | $8K | |
| 99383 | <1% | 87 | $8K | |
| 87807 | <1% | 985 | $8K | |
| 17110 | <1% | 114 | $7K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 83 | $7K |
| 99381 | <1% | 104 | $7K | |
| 59514 | <1% | 28 | $7K | |
| 96160 | <1% | 4,976 | $6K | |
| 99152 | <1% | 834 | $6K | |
| 99177 | <1% | 1,680 | $6K | |
| 95806 | <1% | 125 | $6K | |
| 76801 | <1% | 192 | $6K | |
| 99307 | <1% | 1,569 | $6K | |
| 95886 | <1% | 63 | $6K | |
| 93295 | <1% | 343 | $5K | |
| 93227 | <1% | 471 | $5K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 70 | $5K |
| 82728 | <1% | 767 | $5K | |
| 93297 | <1% | 731 | $5K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 47 | $4K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 56 | $4K |
| 96127 | <1% | 1,476 | $4K | |
| 81002 | <1% | 1,958 | $4K | |
| 85018 | <1% | 1,890 | $4K | |
| 99173 | <1% | 2,232 | $4K | |
| 87430 | <1% | 255 | $4K | |
| 94726 | <1% | 602 | $3K | |
| 93298 | <1% | 261 | $3K | |
| 76820 | <1% | 156 | $3K | |
| 93294 | <1% | 393 | $3K | |
| 94729 | <1% | 770 | $3K | |
| 90785 | <1% | 338 | $3K | |
| 94060 | <1% | 503 | $3K | |
| 90670 | <1% | 9,765 | $3K | |
| 99406 | <1% | 1,057 | $3K | |
| 99407 | <1% | 478 | $3K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 72 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 343 | $3K |
| 95251 | <1% | 157 | $2K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 82 | $2K |
| 99441 | <1% | 268 | $2K | |
| 94010 | <1% | 349 | $2K | |
| 95811 | <1% | 29 | $2K | |
| 96156 | <1% | 29 | $2K | |
| 99221 | <1% | 230 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 686 | $2K |
| 77427 | <1% | 40 | $2K | |
| 99305 | <1% | 229 | $2K | |
| 51798 | <1% | 287 | $2K | |
| 99459 | <1% | 78 | $1K | |
| 99382 | <1% | 15 | $1K | |
| 52000 | <1% | 15 | $1K | |
| 93272 | <1% | 77 | $1K | |
| 83615 | <1% | 502 | $1K | |
| 99225 | <1% | 112 | $1K | |
| 90756 | <1% | 68 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 54 | $1K |
| 96381 | <1% | 75 | $1K | |
| 97597 | <1% | 63 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 219 | $945.26 |
| 93228 | <1% | 104 | $782.07 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 87 | $751.68 |
| 90715 | <1% | 432 | $741.60 | |
| 99442 | <1% | 81 | $722.71 | |
| 80305 | <1% | 110 | $705.98 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 13 | $640.91 |
| 90656 | <1% | 695 | $582.16 | |
| 90688 | <1% | 88 | $575.53 | |
| 90723 | <1% | 7,836 | $573.67 | |
| 99443 | <1% | 36 | $572.00 | |
| 90680 | <1% | 6,537 | $520.66 | |
| 93226 | <1% | 59 | $485.21 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 60 | $481.14 |
| 85045 | <1% | 215 | $480.60 | |
| 81001 | <1% | 332 | $458.76 | |
| 93289 | <1% | 19 | $455.24 | |
| 99386 | <1% | 57 | $439.10 | |
| 99462 | <1% | 14 | $436.70 | |
| 51701 | <1% | 16 | $352.61 | |
| 99385 | <1% | 190 | $284.07 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 16 | $254.14 |
| 90633 | <1% | 3,124 | $238.19 | |
| 88720 | <1% | 82 | $237.80 | |
| 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% | 191 | $224.24 |
| 90647 | <1% | 7,171 | $204.62 | |
| 0072A | <1% | 16 | $198.84 | |
| 99001 | <1% | 93 | $168.60 | |
| 85610 | <1% | 239 | $167.80 | |
| 94618 | <1% | 15 | $144.77 | |
| 99051 | <1% | 2,984 | $144.31 | |
| 90697 | <1% | 42 | $132.77 | |
| 90661 | <1% | 183 | $126.36 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 214 | $80.81 |
| 90685 | <1% | 18 | $58.32 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $48.22 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 42 | $38.86 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 187 | $33.67 |
| 1159F | <1% | 146,274 | $27.49 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 176 | $17.50 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 121 | $8.95 |
| G0008 | Administration of influenza virus vaccine | <1% | 355 | $5.20 |
| 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% | 319 | $3.12 |
| 1036F | 0% | 131,401 | $0.00 | |
| 90677 | 0% | 1,829 | $0.00 | |
| 3074F | 0% | 101,475 | $0.00 | |
| 3008F | 0% | 147,914 | $0.00 | |
| 1125F | 0% | 3,831 | $0.00 | |
| 1126F | 0% | 12,540 | $0.00 | |
| 1035F | 0% | 1,971 | $0.00 | |
| 1034F | 0% | 5,539 | $0.00 | |
| 3079F | 0% | 21,695 | $0.00 | |
| 3075F | 0% | 4,792 | $0.00 | |
| 3080F | 0% | 950 | $0.00 | |
| 90381 | 0% | 30 | $0.00 | |
| 90716 | 0% | 120 | $0.00 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 21 | $0.00 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 0% | 55 | $0.00 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 215 | $0.00 |
| 90651 | 0% | 28 | $0.00 | |
| 1220F | 0% | 60 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 18 | $0.00 |
| 99318 | 0% | 41 | $0.00 | |
| 90696 | 0% | 33 | $0.00 | |
| 90660 | 0% | 12 | $0.00 | |
| 99304 | 0% | 12 | $0.00 | |
| 86580 | 0% | 16 | $0.00 | |
| 91307 | 0% | 23 | $0.00 | |
| 1160F | 0% | 152,015 | $0.00 | |
| 90672 | 0% | 107 | $0.00 | |
| 3725F | 0% | 24,912 | $0.00 | |
| 3078F | 0% | 87,315 | $0.00 | |
| 90710 | 0% | 352 | $0.00 | |
| 3077F | 0% | 1,467 | $0.00 | |
| 90700 | 0% | 202 | $0.00 | |
| 3288F | 0% | 214 | $0.00 | |
| 90734 | 0% | 30 | $0.00 | |
| 90658 | 0% | 62 | $0.00 | |
| 99354 | 0% | 102 | $0.00 | |
| 90707 | 0% | 146 | $0.00 | |
| 90380 | 0% | 26 | $0.00 | |
| 74018 | 0% | 19 | $0.00 | |
| 99226 | 0% | 14 | $0.00 | |
| 90648 | 0% | 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 |
|---|---|---|
| ST. Vincent Medical Group, INC. | Winchester, IN | $70.38M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.