ST. JOSEPH COUNTY AUDITOR
NPI: 1467470393
· SOUTH BEND, IN 46601
· Public Health or Welfare Agency
· NPI assigned 07/18/2006
$156K
Total Medicaid Paid
Provider Details
| Authorized Official | RUPPE, AMY (ADMINISTRATOR) |
| NPI Enumeration Date | 07/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,827 |
$12K |
| 2019 |
3,740 |
$21K |
| 2020 |
3,081 |
$28K |
| 2021 |
3,367 |
$34K |
| 2022 |
3,349 |
$34K |
| 2023 |
2,391 |
$15K |
| 2024 |
1,076 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,596 |
3,697 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,087 |
4,946 |
$57K |
| 90473 |
|
179 |
158 |
$2K |
| T1016 |
Case management, each 15 minutes |
160 |
102 |
$925.12 |
| 36416 |
|
348 |
315 |
$681.66 |
| 90686 |
|
1,174 |
1,020 |
$416.12 |
| 90651 |
|
1,392 |
1,224 |
$312.07 |
| 90734 |
|
1,346 |
1,207 |
$248.09 |
| 90620 |
|
543 |
487 |
$216.00 |
| 90633 |
|
977 |
848 |
$200.09 |
| 90480 |
|
12 |
12 |
$150.00 |
| 90715 |
|
850 |
791 |
$56.09 |
| 90647 |
|
184 |
155 |
$48.03 |
| 90670 |
|
229 |
201 |
$40.01 |
| 90710 |
|
235 |
228 |
$24.00 |
| 90707 |
|
25 |
24 |
$0.01 |
| 90619 |
|
35 |
35 |
$0.00 |
| 90723 |
|
118 |
105 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90672 |
|
174 |
160 |
$0.00 |
| 90713 |
|
64 |
62 |
$0.00 |
| 90700 |
|
63 |
60 |
$0.00 |
| 90681 |
|
15 |
13 |
$0.00 |