Saint Joseph Regional Medical Center-South Bend Campus, INC.
Saint Joseph Regional Medical Center-South Bend Campus, INC. was paid $923K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
SOUTH BEND, IN 46601
Next to other Nurse Practitioner 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 | 2,352 | $33K | |
| 2019 | 2,451 | $85K | |
| 2020 | 2,973 | $99K | |
| 2021 | 3,893 | $145K | |
| 2022 | 4,902 | $165K | |
| 2023 | 5,315 | $189K | |
| 2024incomplete | 5,009 | $208K |
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 | 74% | 10,065 | 8,187 | $681K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,722 | 3,051 | $171K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 1,705 | 1,332 | $13K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 3,604 | 3,027 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 82 | 68 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,412 | 1,196 | $7K |
| 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 | <1% | 33 | 26 | $3K |
| 91320 | <1% | 83 | 36 | $3K | |
| 90686 | <1% | 479 | 376 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 203 | 113 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | 28 | $2K |
| 90480 | <1% | 137 | 52 | $1K |
30 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 19 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 79 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 39 | $1K |
| 96127 | <1% | 286 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 120 | $1K |
| 80061 | Lipid panel | <1% | 204 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 20 | $633.84 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 21 | $467.07 |
| 90658 | <1% | 105 | $448.07 | |
| 90674 | <1% | 16 | $413.22 | |
| 90756 | <1% | 21 | $249.30 | |
| 99406 | <1% | 17 | $240.27 | |
| 0124A | <1% | 13 | $221.40 | |
| 0004A | <1% | 30 | $197.21 | |
| 3044F | <1% | 223 | $160.00 | |
| 81003 | <1% | 56 | $98.17 | |
| 81025 | <1% | 14 | $97.19 | |
| 3074F | 0% | 1,042 | $0.00 | |
| 3079F | 0% | 499 | $0.00 | |
| 3008F | 0% | 823 | $0.00 | |
| 3080F | 0% | 31 | $0.00 | |
| 1126F | 0% | 46 | $0.00 | |
| 3075F | 0% | 315 | $0.00 | |
| 1125F | 0% | 27 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 43 | $0.00 |
| 3078F | 0% | 982 | $0.00 | |
| 1159F | 0% | 110 | $0.00 | |
| 3077F | 0% | 106 | $0.00 | |
| 99442 | 0% | 22 | $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 |
|---|---|---|
| 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, INC. | Plymouth, IN | $5.55M |
| Saint Joseph Regional Medical Center-South Bend Campus, INC. | Mishawaka, IN | $4.81M |
| 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.