Physician
Saint Joseph Regional Medical Center, INC.
Saint Joseph Regional Medical Center, INC. was paid $10.66M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoSAINT JOSEPH REGIONAL MEDICAL CENTER, INC.
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
33aNPI1467406074assigned 05/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$10.66M
24GClaims312,379
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#13 of 316
Median peer was paid$17K
This provider vs. median630×
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 | 39,075 | $958K | |
| 2019 | 26,268 | $932K | |
| 2020 | 28,133 | $996K | |
| 2021 | 42,215 | $1.72M | |
| 2022 | 57,785 | $1.91M | |
| 2023 | 63,153 | $2.14M | |
| 2024incomplete | 55,750 | $2.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 91,691 | 77,150 | $4.38M |
| 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 | 37% | 65,446 | 55,106 | $3.96M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 8,363 | 7,217 | $644K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 6,703 | 6,248 | $551K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 21,897 | 19,441 | $236K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 11,323 | 9,587 | $220K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 2,237 | 2,072 | $179K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,059 | 955 | $97K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 633 | 587 | $51K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,359 | 1,156 | $40K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,622 | 1,125 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 647 | 576 | $24K |
80 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,142 | $22K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 665 | $22K |
| 90474 | <1% | 1,660 | $21K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,599 | $18K |
| 59425 | <1% | 236 | $16K | |
| 90686 | <1% | 4,926 | $15K | |
| 90670 | <1% | 4,156 | $14K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,212 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,458 | $10K |
| 96127 | <1% | 2,081 | $8K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 165 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,199 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,444 | $5K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 88 | $5K |
| 91320 | <1% | 169 | $4K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 166 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 265 | $4K |
| 99306 | Prolong nursin fac eval 15m | <1% | 155 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 83 | $4K |
| 99460 | <1% | 64 | $3K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 164 | $3K |
| 81002 | <1% | 1,325 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 256 | $3K |
| 90480 | <1% | 298 | $3K | |
| 90674 | <1% | 214 | $3K | |
| 90723 | <1% | 1,439 | $2K | |
| 90688 | <1% | 171 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 173 | $1K |
| 99307 | <1% | 341 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 93 | $1K |
| 90656 | <1% | 304 | $1K | |
| 96112 | <1% | 12 | $1K | |
| 90698 | <1% | 2,811 | $981.74 | |
| 0124A | <1% | 67 | $738.00 | |
| 90710 | <1% | 61 | $647.23 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $577.21 |
| 90680 | <1% | 1,390 | $532.20 | |
| 87807 | <1% | 72 | $526.96 | |
| 90681 | <1% | 362 | $519.72 | |
| 90648 | <1% | 1,992 | $507.33 | |
| 85018 | <1% | 258 | $470.46 | |
| 90633 | <1% | 1,179 | $420.59 | |
| 0004A | <1% | 26 | $409.31 | |
| 90744 | <1% | 904 | $313.54 | |
| 95251 | <1% | 15 | $296.08 | |
| 96380 | <1% | 22 | $285.00 | |
| 36416 | <1% | 102 | $278.52 | |
| 3044F | <1% | 295 | $240.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 22 | $236.04 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 181 | $172.78 |
| 81003 | <1% | 382 | $160.49 | |
| 90715 | <1% | 82 | $118.83 | |
| 80061 | Lipid panel | <1% | 217 | $95.05 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15 | $81.38 |
| 99173 | <1% | 35 | $75.49 | |
| 90685 | <1% | 192 | $0.09 | |
| 3078F | 0% | 13,768 | $0.00 | |
| 1159F | 0% | 1,545 | $0.00 | |
| 1160F | 0% | 1,651 | $0.00 | |
| 90734 | 0% | 54 | $0.00 | |
| 90707 | 0% | 81 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| 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) | 0% | 28 | $0.00 |
| 81025 | 0% | 25 | $0.00 | |
| 90700 | 0% | 19 | $0.00 | |
| 3074F | 0% | 16,362 | $0.00 | |
| 3079F | 0% | 5,222 | $0.00 | |
| 3008F | 0% | 13,259 | $0.00 | |
| 3075F | 0% | 2,381 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 55 | $0.00 |
| 90677 | 0% | 239 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 21 | $0.00 |
| 93000 | 0% | 27 | $0.00 | |
| 90716 | 0% | 68 | $0.00 | |
| 90651 | 0% | 57 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 35 | $0.00 |
| 90381 | 0% | 17 | $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- 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-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.