Clinic
ST. Vincent Medical Group, INC.
ST. Vincent Medical Group, INC. was paid $10.13M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoST. VINCENT MEDICAL GROUP, INC.
NORTH VERNON, IN 47265
NORTH VERNON, IN 47265
33aNPI1376816975assigned 02/14/2012
33bProvider typeRural Health Clinic/Center
28Total paid$10.13M
24GClaims520,269
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Indiana
Rank by total paid#2 of 82
Median peer was paid$379K
This provider vs. median27×
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 MORRIS, BRIAN controls 13+ 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 | 31,081 | $1.01M | |
| 2019 | 34,994 | $1.35M | |
| 2020 | 34,953 | $1.19M | |
| 2021 | 51,347 | $1.80M | |
| 2022 | 115,937 | $1.82M | |
| 2023 | 161,299 | $1.70M | |
| 2024incomplete | 90,658 | $1.27M |
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 | 41% | 68,031 | 54,860 | $4.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 58,799 | 46,660 | $2.66M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 12% | 80,239 | 59,617 | $1.19M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 5,885 | 5,105 | $459K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 4,759 | 3,886 | $348K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 4,375 | 3,718 | $302K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 2,168 | 1,719 | $146K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 16,771 | 13,541 | $135K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 8,701 | 7,300 | $129K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 1,496 | 1,212 | $118K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 894 | 692 | $87K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,425 | 5,192 | $76K |
82 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 634 | $50K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,394 | $28K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 215 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 822 | $21K |
| 99406 | <1% | 1,942 | $18K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,374 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 699 | $15K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 203 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,282 | $11K |
| 96127 | <1% | 4,130 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,226 | $10K |
| 92551 | <1% | 1,840 | $10K | |
| 36416 | <1% | 4,657 | $8K | |
| 90474 | <1% | 729 | $6K | |
| 90674 | <1% | 328 | $5K | |
| 99442 | <1% | 421 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 61 | $4K |
| 87430 | <1% | 271 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 713 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 545 | $3K |
| 85018 | <1% | 1,075 | $2K | |
| 87400 | <1% | 287 | $2K | |
| 99173 | <1% | 1,694 | $2K | |
| 90686 | <1% | 5,061 | $2K | |
| 90473 | <1% | 152 | $1K | |
| 90715 | <1% | 123 | $1K | |
| 99443 | <1% | 51 | $875.84 | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 181 | $847.89 |
| 87428 | <1% | 26 | $792.40 | |
| 99188 | <1% | 77 | $784.99 | |
| 81003 | <1% | 498 | $764.39 | |
| 81002 | <1% | 408 | $690.76 | |
| 96161 | <1% | 280 | $643.36 | |
| 0071A | <1% | 56 | $595.36 | |
| 90661 | <1% | 45 | $461.34 | |
| 90670 | <1% | 2,607 | $456.69 | |
| 90651 | <1% | 461 | $414.86 | |
| 0072A | <1% | 21 | $409.31 | |
| 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% | 441 | $288.20 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 44 | $243.43 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $163.50 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 12 | $94.05 |
| 90680 | <1% | 649 | $86.25 | |
| 90723 | <1% | 1,263 | $79.18 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 69 | $71.47 |
| 90633 | <1% | 810 | $70.71 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 85 | $27.09 |
| 90647 | <1% | 1,334 | $26.77 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 19 | $25.57 |
| 90656 | <1% | 149 | $19.93 | |
| 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% | 310 | $0.01 |
| 1034F | 0% | 3,836 | $0.00 | |
| 3008F | 0% | 30,466 | $0.00 | |
| 3074F | 0% | 30,668 | $0.00 | |
| 3080F | 0% | 1,080 | $0.00 | |
| 1036F | 0% | 20,893 | $0.00 | |
| 3079F | 0% | 7,673 | $0.00 | |
| 1126F | 0% | 6,149 | $0.00 | |
| 1035F | 0% | 2,132 | $0.00 | |
| 1125F | 0% | 10,626 | $0.00 | |
| 90733 | 0% | 133 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 16 | $0.00 |
| 3075F | 0% | 1,728 | $0.00 | |
| 90677 | 0% | 263 | $0.00 | |
| 90696 | 0% | 31 | $0.00 | |
| 91307 | 0% | 135 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $0.00 |
| 90620 | 0% | 14 | $0.00 | |
| 92558 | 0% | 47 | $0.00 | |
| 1160F | 0% | 35,395 | $0.00 | |
| 3078F | 0% | 24,662 | $0.00 | |
| 90672 | 0% | 197 | $0.00 | |
| 3725F | 0% | 5,442 | $0.00 | |
| 3077F | 0% | 1,325 | $0.00 | |
| 1159F | 0% | 34,740 | $0.00 | |
| 99497 | 0% | 22 | $0.00 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 88 | $0.00 |
| 90710 | 0% | 61 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 91300 | 0% | 61 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 90707 | 0% | 12 | $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 officialMORRIS, BRIAN (CFO)
| 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. | 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.