Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › EVANSVILLE › ST MARY'S MEDICAL GROUP, LLC

ST MARY'S MEDICAL GROUP, LLC

NPI: 1164852539 · EVANSVILLE, IN 47750 · Psychologist · NPI assigned 11/20/2013

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

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

$31.16M
Total Medicaid Paid
1,772,852
Total Claims
1,451,394
Beneficiaries
217
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRIS, BRIAN (CFO (SVMG))
NPI Enumeration Date11/20/2013

Related Entities

Other providers sharing the same authorized official: MORRIS, BRIAN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 300,538 $4.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 212,422 176,836 $9.79M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 139,538 112,511 $7.86M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,835 16,288 $1.54M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,339 16,322 $1.49M
99232 Subsequent hospital care, per day, moderate complexity 63,670 18,822 $1.42M
59426 14,596 8,366 $1.09M
90472 Immunization administration, each additional vaccine (list separately) 24,946 22,908 $654K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,439 7,145 $643K
59425 8,682 7,043 $530K
99223 Prolong inpt eval add15 m 7,724 5,925 $527K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 35,597 32,370 $412K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,357 4,594 $351K
99222 Initial hospital care, per day, moderate complexity 6,044 4,841 $347K
99233 Prolong inpt eval add15 m 8,998 3,668 $329K
87428 9,179 8,501 $279K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,037 8,040 $272K
99215 Prolong outpt/office vis 3,243 2,234 $242K
90847 Family psychotherapy with the patient present, 50 minutes 3,967 2,629 $239K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,170 6,044 $181K
99239 Hospital discharge day management, more than 30 minutes 4,528 3,619 $177K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,782 3,224 $167K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14,809 13,431 $163K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,526 3,109 $159K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,638 1,570 $144K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,711 2,557 $125K
99309 Subsequent nursing facility care, per day, low to moderate complexity 16,636 10,007 $123K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,988 4,964 $122K
90837 Psychotherapy, 53 minutes with patient 1,187 747 $122K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,411 2,169 $96K
90473 6,475 5,846 $82K
99220 1,190 963 $75K
36415 Collection of venous blood by venipuncture 26,182 21,081 $74K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,457 910 $70K
76830 Ultrasound, transvaginal 1,023 958 $64K
80053 Comprehensive metabolic panel 13,807 9,735 $59K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,339 1,252 $58K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,872 11,575 $55K
76536 702 597 $46K
81003 25,555 18,130 $45K
76819 Fetal biophysical profile; without non-stress testing 1,584 848 $43K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,706 5,919 $40K
93320 2,748 2,569 $39K
93016 4,197 3,450 $37K
93000 5,958 4,736 $33K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 475 423 $32K
76818 741 442 $31K
99219 638 539 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,959 1,828 $30K
83036 Hemoglobin; glycosylated (A1C) 6,548 5,247 $27K
90686 13,545 12,232 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,822 3,083 $25K
93458 224 175 $22K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 950 856 $21K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,358 1,303 $19K
99000 7,938 6,984 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 387 349 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 546 442 $17K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,134 2,503 $17K
99217 766 681 $16K
90935 Hemodialysis procedure with single evaluation by a physician 983 402 $16K
99308 Subsequent nursing facility care, per day, straightforward 3,244 1,626 $16K
99479 Subsequent intensive care, per day, very low birth weight infant 239 49 $16K
92551 1,974 1,867 $15K
99238 Hospital discharge day management, 30 minutes or less 426 355 $13K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 141 121 $12K
93296 2,001 1,581 $12K
36416 5,334 4,658 $11K
59430 400 282 $10K
81025 2,098 1,717 $9K
90674 725 654 $8K
93325 3,366 3,109 $8K
99205 Prolong outpt/office vis 138 113 $8K
93018 1,393 1,188 $8K
96161 3,437 2,601 $8K
99460 118 108 $8K
99383 87 72 $8K
87807 985 906 $8K
17110 114 97 $7K
99480 Subsequent intensive care, per day, low birth weight infant 83 24 $7K
99381 104 88 $7K
59514 28 25 $7K
96160 4,976 3,824 $6K
99152 834 648 $6K
99177 1,680 1,594 $6K
95806 125 116 $6K
76801 192 175 $6K
99307 1,569 651 $6K
95886 63 43 $6K
93295 343 285 $5K
93227 471 386 $5K
90834 Psychotherapy, 45 minutes with patient 70 54 $5K
82728 767 675 $5K
93297 731 611 $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 47 35 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters 56 50 $4K
96127 1,476 1,090 $4K
81002 1,958 1,307 $4K
85018 1,890 1,735 $4K
99173 2,232 2,123 $4K
87430 255 248 $4K
94726 602 491 $3K
93298 261 219 $3K
76820 156 77 $3K
93294 393 309 $3K
94729 770 622 $3K
90785 338 303 $3K
94060 503 421 $3K
90670 9,765 8,760 $3K
99406 1,057 768 $3K
99407 478 314 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 72 38 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 343 304 $3K
95251 157 141 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 82 77 $2K
99441 268 161 $2K
94010 349 259 $2K
95811 29 25 $2K
96156 29 25 $2K
99221 230 173 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 686 550 $2K
77427 40 12 $2K
99305 229 149 $2K
51798 287 246 $2K
99459 78 70 $1K
99382 15 13 $1K
52000 15 12 $1K
93272 77 74 $1K
83615 502 402 $1K
99225 112 80 $1K
90756 68 57 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 54 52 $1K
96381 75 75 $1K
97597 63 31 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 219 194 $945.26
93228 104 74 $782.07
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 87 80 $751.68
90715 432 390 $741.60
99442 81 53 $722.71
80305 110 70 $705.98
99306 Prolong nursin fac eval 15m 13 12 $640.91
90656 695 647 $582.16
90688 88 75 $575.53
90723 7,836 7,041 $573.67
99443 36 14 $572.00
90680 6,537 5,871 $520.66
93226 59 42 $485.21
G0444 Annual depression screening, 5 to 15 minutes 60 48 $481.14
85045 215 188 $480.60
81001 332 264 $458.76
93289 19 12 $455.24
99386 57 54 $439.10
99462 14 13 $436.70
51701 16 14 $352.61
99385 190 174 $284.07
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 16 15 $254.14
90633 3,124 2,907 $238.19
88720 82 52 $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 191 125 $224.24
90647 7,171 6,533 $204.62
0072A 16 12 $198.84
99001 93 82 $168.60
85610 239 151 $167.80
94618 15 12 $144.77
99051 2,984 2,403 $144.31
90697 42 42 $132.77
90661 183 175 $126.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 214 189 $80.81
90685 18 16 $58.32
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 12 12 $48.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 42 37 $38.86
J0696 Injection, ceftriaxone sodium, per 250 mg 187 164 $33.67
1159F 146,274 125,829 $27.49
J1885 Injection, ketorolac tromethamine, per 15 mg 176 157 $17.50
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 121 107 $8.95
G0008 Administration of influenza virus vaccine 355 227 $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) 319 258 $3.12
1036F 131,401 109,517 $0.00
90677 1,829 1,773 $0.00
3074F 101,475 89,396 $0.00
3008F 147,914 130,001 $0.00
1125F 3,831 3,345 $0.00
1126F 12,540 10,325 $0.00
1035F 1,971 1,640 $0.00
1034F 5,539 4,832 $0.00
3079F 21,695 19,410 $0.00
3075F 4,792 4,337 $0.00
3080F 950 860 $0.00
90381 30 30 $0.00
90716 120 109 $0.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 21 14 $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 55 50 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 215 154 $0.00
90651 28 28 $0.00
1220F 60 50 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 18 12 $0.00
99318 41 25 $0.00
90696 33 31 $0.00
90660 12 12 $0.00
99304 12 12 $0.00
86580 16 14 $0.00
91307 23 15 $0.00
1160F 152,015 130,686 $0.00
90672 107 102 $0.00
3725F 24,912 21,347 $0.00
3078F 87,315 77,251 $0.00
90710 352 344 $0.00
3077F 1,467 1,353 $0.00
90700 202 196 $0.00
3288F 214 186 $0.00
90734 30 25 $0.00
90658 62 57 $0.00
99354 102 77 $0.00
90707 146 136 $0.00
90380 26 26 $0.00
74018 19 13 $0.00
99226 14 12 $0.00
90648 13 13 $0.00