Physician
Saint Joseph Regional Medical Center, INC.
Saint Joseph Regional Medical Center, INC. was paid $5.55M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoSAINT JOSEPH REGIONAL MEDICAL CENTER, INC.
PLYMOUTH, IN 46563
PLYMOUTH, IN 46563
33aNPI1225082878assigned 05/19/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$5.55M
24GClaims155,883
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Indiana
Rank by total paid#1 of 5
Median peer was paid$578K
This provider vs. median9.6×
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 KARAM, CHRISTOPHER controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,296 | $305K | |
| 2019 | 16,376 | $571K | |
| 2020 | 18,740 | $659K | |
| 2021 | 20,926 | $784K | |
| 2022 | 22,068 | $973K | |
| 2023 | 25,317 | $1.13M | |
| 2024incomplete | 29,160 | $1.13M |
Box 24 · Service lines
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 | 33% | 38,477 | 29,534 | $1.82M |
| 59425 | 12% | 9,865 | 7,734 | $689K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 7.4% | 5,441 | 4,707 | $413K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 10,544 | 8,230 | $390K |
| 59426 | 6.3% | 4,736 | 2,843 | $348K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.6% | 10,140 | 7,673 | $311K |
| 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 | 4.2% | 3,000 | 2,499 | $233K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.7% | 2,316 | 1,808 | $207K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 1,641 | 1,055 | $124K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 1,529 | 1,259 | $110K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 5,184 | 1,592 | $108K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.9% | 1,171 | 1,045 | $104K |
81 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 2,996 | $82K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 178 | $48K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 959 | $46K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 833 | $43K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 613 | $40K |
| 81002 | <1% | 13,263 | $34K | |
| 93000 | <1% | 5,724 | $33K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 937 | $32K |
| 99223 | Prolong inpt eval add15 m | <1% | 685 | $30K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 9,471 | $29K |
| 99205 | Prolong outpt/office vis | <1% | 358 | $27K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 561 | $24K |
| 95806 | <1% | 494 | $19K | |
| 95819 | <1% | 578 | $18K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 361 | $16K |
| 99401 | <1% | 818 | $15K | |
| 76820 | <1% | 350 | $12K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 178 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 803 | $12K |
| 76801 | <1% | 234 | $11K | |
| 96127 | <1% | 2,864 | $10K | |
| 47563 | <1% | 52 | $9K | |
| 97804 | <1% | 315 | $8K | |
| 17110 | <1% | 115 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,226 | $7K |
| 59025 | Fetal non-stress test | <1% | 411 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 619 | $4K |
| 99221 | <1% | 96 | $4K | |
| 99235 | <1% | 38 | $4K | |
| 11102 | <1% | 78 | $4K | |
| 93016 | <1% | 591 | $4K | |
| 95816 | <1% | 144 | $4K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 118 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 187 | $3K |
| 59430 | <1% | 360 | $2K | |
| 94726 | <1% | 408 | $2K | |
| 94060 | <1% | 404 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $2K |
| 99354 | <1% | 189 | $2K | |
| 95811 | <1% | 28 | $2K | |
| 94729 | <1% | 408 | $2K | |
| 93018 | <1% | 445 | $1K | |
| 94618 | <1% | 114 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 117 | $1K |
| 90686 | <1% | 129 | $1K | |
| 51798 | <1% | 289 | $1K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 48 | $818.87 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 124 | $753.76 |
| 90715 | <1% | 89 | $608.35 | |
| 93922 | <1% | 109 | $590.40 | |
| 97803 | <1% | 12 | $561.99 | |
| 99283 | Emergency room visit (moderate) | <1% | 19 | $559.18 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 18 | $505.19 |
| 99411 | <1% | 126 | $487.05 | |
| 81000 | <1% | 192 | $446.28 | |
| 99152 | <1% | 48 | $399.23 | |
| 99406 | <1% | 71 | $335.15 | |
| 95886 | <1% | 40 | $272.70 | |
| 82962 | <1% | 94 | $242.34 | |
| 90656 | <1% | 16 | $196.31 | |
| 93225 | <1% | 15 | $170.65 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | $139.13 |
| 99412 | <1% | 16 | $120.42 | |
| 3044F | <1% | 112 | $80.00 | |
| 81003 | <1% | 30 | $31.53 | |
| 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% | 252 | $3.18 |
| 3074F | 0% | 3,636 | $0.00 | |
| 3075F | 0% | 502 | $0.00 | |
| 3008F | 0% | 434 | $0.00 | |
| 3079F | 0% | 918 | $0.00 | |
| 99403 | 0% | 21 | $0.00 | |
| 99255 | 0% | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 3078F | 0% | 3,286 | $0.00 | |
| 1159F | 0% | 144 | $0.00 | |
| 1160F | 0% | 144 | $0.00 | |
| 3077F | 0% | 25 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 34 | $0.00 |
| 99404 | 0% | 24 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| 87210 | 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.
From NPPES
Who's on the registration
Authorized officialKARAM, CHRISTOPHER (PRESIDENT)
Parent organizationTRINITY HEALTH CORPORATION
| 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-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-South Bend Campus, INC. | Mishawaka, IN | $10K |
| 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.