Clinic
Saint Joseph Health System, INC.
Saint Joseph Health System, INC. was paid $6.92M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoSAINT JOSEPH HEALTH SYSTEM, INC.
LONDON, KY 40741
LONDON, KY 40741
33aNPI1508918533assigned 01/18/2007
33bProvider typeRural Health Clinic/Center
28Total paid$6.92M
24GClaims223,619
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#7 of 265
Median peer was paid$400K
This provider vs. median17×
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 SPITSER, CHRISTY controls 16+ 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 | 43,526 | $1.21M | |
| 2019 | 42,365 | $1.15M | |
| 2020 | 28,852 | $852K | |
| 2021 | 31,293 | $1.04M | |
| 2022 | 28,313 | $953K | |
| 2023 | 27,686 | $938K | |
| 2024incomplete | 21,584 | $778K |
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% | 72,131 | 63,278 | $2.83M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 10,044 | 9,529 | $661K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 7,164 | 6,951 | $541K |
| 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 | 7.6% | 8,455 | 7,827 | $527K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.9% | 20,660 | 19,757 | $342K |
| 87428 | 4.4% | 7,160 | 6,644 | $301K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.2% | 21,316 | 19,737 | $293K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 3,798 | 3,702 | $286K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 14,216 | 13,337 | $216K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 3,133 | 2,916 | $151K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 1,657 | 1,565 | $138K |
| 99460 | 1.8% | 2,927 | 2,720 | $123K |
35 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 8,156 | $120K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 3,368 | $96K |
| 90670 | <1% | 5,489 | $63K | |
| 99462 | <1% | 1,165 | $27K | |
| 90710 | <1% | 2,887 | $27K | |
| 90633 | <1% | 8,803 | $23K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,610 | $23K |
| 54150 | <1% | 326 | $21K | |
| 90723 | <1% | 3,355 | $20K | |
| 90473 | <1% | 878 | $19K | |
| 87807 | <1% | 1,115 | $14K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 528 | $13K |
| 90734 | <1% | 1,095 | $10K | |
| 90680 | <1% | 2,067 | $8K | |
| 90647 | <1% | 3,342 | $7K | |
| 90651 | <1% | 217 | $5K | |
| 90697 | <1% | 1,979 | $5K | |
| 98960 | <1% | 144 | $2K | |
| 90686 | <1% | 1,145 | $2K | |
| 83655 | <1% | 92 | $1K | |
| 90696 | <1% | 608 | $1K | |
| 99383 | <1% | 18 | $1K | |
| 90685 | <1% | 121 | $919.74 | |
| 90715 | <1% | 454 | $916.21 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 157 | $577.24 |
| 90700 | <1% | 326 | $406.69 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 533 | $314.71 |
| 96381 | <1% | 30 | $295.68 | |
| 85018 | <1% | 141 | $282.19 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 24 | $278.64 |
| 81003 | <1% | 437 | $79.43 | |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | <1% | 24 | $1.08 |
| 90619 | 0% | 41 | $0.00 | |
| 90656 | 0% | 46 | $0.00 | |
| 90671 | 0% | 237 | $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 officialSPITSER, CHRISTY (VP OF FINANCE)
Parent organizationSAINT JOSEPH HEALTH SYSTEM, INC.
| Provider | Location | Paid |
|---|---|---|
| Saint Joseph Health System INC | London, KY | $998K |
| Saint Joseph Health Asc LLC | Lexington, KY | $905K |
| Saint Joseph Health System INC. | Berea, KY | $759K |
| Saint Joseph Health System, INC. | London, KY | $492K |
| Saint Joseph Health System, INC. | London, KY | $474K |
| Flaget Healthcare INC | Bardstown, KY | $474K |
| Saint Joseph Health System, INC. | Lexington, KY | $456K |
| Flaget Healthcare, INC | Bardstown, KY | $399K |
| Saint Joseph Health System, INC | London, KY | $355K |
| Flaget Healthcare INC | Bardstown, KY | $202K |
| Kentucky One Health Medical Group, INC. | Irvine, KY | $100K |
| Saint Joseph Health System, INC | Somerset, KY | $77K |
| Saint Joseph Health System INC | Lexington, KY | $75K |
| Flaget Healthcare INC | Willisburg, KY | $61K |
| Saint Joseph Health System, INC. | Corbin, KY | $50K |
| Flaget Healthcare INC | New Haven, KY | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.