Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › NORTH VERNON › ST. VINCENT MEDICAL GROUP, INC.

ST. VINCENT MEDICAL GROUP, INC.

NPI: 1376816975 · NORTH VERNON, IN 47265 · Rural Health Clinic/Center · NPI assigned 02/14/2012

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

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

$10.13M
Total Medicaid Paid
520,269
Total Claims
415,827
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRIS, BRIAN (CFO)
NPI Enumeration Date02/14/2012

Related Entities

Other providers sharing the same authorized official: MORRIS, BRIAN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 90,658 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 68,031 54,860 $4.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58,799 46,660 $2.66M
T1015 Clinic visit/encounter, all-inclusive 80,239 59,617 $1.19M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,885 5,105 $459K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,759 3,886 $348K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,375 3,718 $302K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,168 1,719 $146K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16,771 13,541 $135K
90472 Immunization administration, each additional vaccine (list separately) 8,701 7,300 $129K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,496 1,212 $118K
99215 Prolong outpt/office vis 894 692 $87K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,425 5,192 $76K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 634 515 $50K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,394 973 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 215 185 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 822 650 $21K
99406 1,942 1,388 $18K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,374 841 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 699 562 $15K
90792 Psychiatric diagnostic evaluation with medical services 203 162 $14K
83036 Hemoglobin; glycosylated (A1C) 2,282 1,912 $11K
96127 4,130 2,662 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,226 911 $10K
92551 1,840 1,593 $10K
36416 4,657 3,687 $8K
90474 729 589 $6K
90674 328 265 $5K
99442 421 223 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 61 41 $4K
87430 271 261 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 713 536 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 545 502 $3K
85018 1,075 887 $2K
87400 287 132 $2K
99173 1,694 1,442 $2K
90686 5,061 3,997 $2K
90473 152 101 $1K
90715 123 92 $1K
99443 51 25 $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) 181 109 $847.89
87428 26 25 $792.40
99188 77 72 $784.99
81003 498 367 $764.39
81002 408 347 $690.76
96161 280 218 $643.36
0071A 56 33 $595.36
90661 45 41 $461.34
90670 2,607 2,230 $456.69
90651 461 375 $414.86
0072A 21 19 $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 441 351 $288.20
J1040 Injection, methylprednisolone acetate, 80 mg 44 27 $243.43
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 12 $163.50
G0444 Annual depression screening, 5 to 15 minutes 12 12 $94.05
90680 649 542 $86.25
90723 1,263 1,063 $79.18
J0696 Injection, ceftriaxone sodium, per 250 mg 69 58 $71.47
90633 810 680 $70.71
J1100 Injection, dexamethasone sodium phosphate, 1 mg 85 68 $27.09
90647 1,334 1,160 $26.77
J1885 Injection, ketorolac tromethamine, per 15 mg 19 12 $25.57
90656 149 144 $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) 310 253 $0.01
1034F 3,836 3,259 $0.00
3008F 30,466 26,046 $0.00
3074F 30,668 25,373 $0.00
3080F 1,080 910 $0.00
1036F 20,893 17,012 $0.00
3079F 7,673 6,603 $0.00
1126F 6,149 5,242 $0.00
1035F 2,132 1,812 $0.00
1125F 10,626 8,932 $0.00
90733 133 103 $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) 16 12 $0.00
3075F 1,728 1,504 $0.00
90677 263 249 $0.00
90696 31 26 $0.00
91307 135 74 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 14 $0.00
90620 14 13 $0.00
92558 47 41 $0.00
1160F 35,395 27,946 $0.00
3078F 24,662 20,345 $0.00
90672 197 132 $0.00
3725F 5,442 4,567 $0.00
3077F 1,325 1,126 $0.00
1159F 34,740 27,402 $0.00
99497 22 21 $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 88 88 $0.00
90710 61 50 $0.00
90700 13 12 $0.00
91300 61 34 $0.00
90685 13 13 $0.00
90707 12 12 $0.00