ST. Vincent Medical Group, INC.
ST. Vincent Medical Group, INC. was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
WINCHESTER, IN 47394
Next to other Rural Health Clinic/Center 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 | 11,944 | $242K | |
| 2019 | 10,955 | $412K | |
| 2020 | 7,451 | $266K | |
| 2021 | 50,513 | $559K | |
| 2022 | 74,183 | $570K | |
| 2023 | 70,146 | $532K | |
| 2024incomplete | 38,525 | $379K |
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 | 47% | 24,017 | 19,196 | $1.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 19,328 | 15,663 | $830K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 10% | 31,482 | 24,529 | $308K |
| 59425 | 6.3% | 4,774 | 3,249 | $185K | |
| 59426 | 2.3% | 1,599 | 956 | $69K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,839 | 3,035 | $28K |
| 59430 | <1% | 183 | 145 | $21K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 281 | 244 | $20K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,831 | 5,340 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 868 | 691 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 132 | 116 | $10K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 657 | 497 | $9K |
49 more codes
| 99307 | <1% | 747 | $9K | |
| 90686 | <1% | 749 | $6K | |
| 99460 | <1% | 81 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 115 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 505 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 64 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 241 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 337 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 133 | $3K |
| 90677 | <1% | 13 | $2K | |
| 96127 | <1% | 431 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $1K |
| 90474 | <1% | 85 | $937.99 | |
| 81003 | <1% | 927 | $788.65 | |
| 0002A | <1% | 18 | $644.93 | |
| 87428 | <1% | 20 | $611.25 | |
| 99441 | <1% | 115 | $459.78 | |
| 0134A | <1% | 16 | $266.44 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $210.61 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 251 | $208.81 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 53 | $174.02 |
| 36416 | <1% | 171 | $155.97 | |
| 99442 | <1% | 24 | $134.82 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 115 | $96.29 |
| 1160F | <1% | 30,295 | $94.21 | |
| 81025 | <1% | 23 | $70.39 | |
| 1159F | <1% | 26,729 | $2.93 | |
| 1036F | 0% | 20,682 | $0.00 | |
| 3008F | 0% | 29,247 | $0.00 | |
| 3079F | 0% | 5,043 | $0.00 | |
| 1034F | 0% | 1,146 | $0.00 | |
| 3074F | 0% | 24,123 | $0.00 | |
| 1126F | 0% | 307 | $0.00 | |
| 3075F | 0% | 459 | $0.00 | |
| 90656 | 0% | 67 | $0.00 | |
| 1125F | 0% | 238 | $0.00 | |
| 1035F | 0% | 108 | $0.00 | |
| 3080F | 0% | 131 | $0.00 | |
| 90723 | 0% | 126 | $0.00 | |
| 90680 | 0% | 87 | $0.00 | |
| 90688 | 0% | 52 | $0.00 | |
| 1220F | 0% | 35 | $0.00 | |
| 90647 | 0% | 23 | $0.00 | |
| 3725F | 0% | 5,236 | $0.00 | |
| 3078F | 0% | 19,725 | $0.00 | |
| 3077F | 0% | 374 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 42 | $0.00 |
| 91300 | 0% | 40 | $0.00 | |
| 90670 | 0% | 148 | $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 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 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.