Saint Marys Medical Group INC.
Saint Marys Medical Group INC. was paid $3.11M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 20% of everything it billed.
RENO, NV 89503
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Nevada
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 | 1,859 | $49K | |
| 2019 | 13,255 | $591K | |
| 2020 | 15,196 | $825K | |
| 2021 | 14,236 | $716K | |
| 2022 | 17,759 | $683K | |
| 2023 | 13,439 | $141K | |
| 2024incomplete | 10,992 | $105K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 21,164 | 7,599 | $610K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 19% | 4,721 | 1,330 | $590K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 11,890 | 4,916 | $561K |
| 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 | 17% | 11,182 | 9,390 | $516K |
| 99223 | Prolong inpt eval add15 m | 11% | 3,839 | 3,316 | $338K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.0% | 3,233 | 2,674 | $156K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.9% | 4,827 | 4,381 | $152K |
| 97597 | 1.3% | 1,073 | 506 | $40K | |
| 99245 | <1% | 288 | 246 | $24K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 479 | 412 | $19K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 317 | 274 | $15K |
| 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% | 169 | 140 | $14K |
39 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,050 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 241 | $12K |
| 99285 | Emergency room visit (most serious) | <1% | 167 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 263 | $11K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 372 | $5K |
| 99284 | Emergency room visit (serious) | <1% | 108 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 73 | $2K |
| 94060 | <1% | 67 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 123 | $2K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 36 | $1K |
| 94729 | <1% | 45 | $1K | |
| 93000 | <1% | 177 | $1K | |
| 94726 | <1% | 45 | $1K | |
| 99307 | <1% | 189 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 163 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 17 | $975.66 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 165 | $830.76 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 19 | $821.88 |
| 93016 | <1% | 76 | $760.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | $729.89 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $655.50 |
| 96127 | <1% | 165 | $639.38 | |
| 99283 | Emergency room visit (moderate) | <1% | 15 | $395.37 |
| 93018 | <1% | 62 | $382.24 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 108 | $369.42 |
| 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) | <1% | 475 | $219.74 |
| 94618 | <1% | 14 | $203.80 | |
| 99490 | Ccm add 20min | <1% | 67 | $160.57 |
| 3074F | <1% | 2,516 | $130.48 | |
| 99441 | <1% | 13 | $55.80 | |
| 3078F | <1% | 1,621 | $50.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $3.98 |
| 3008F | 0% | 5,589 | $0.00 | |
| 3079F | 0% | 396 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 17 | $0.00 |
| 1160F | 0% | 6,007 | $0.00 | |
| 3288F | 0% | 375 | $0.00 | |
| 3725F | 0% | 587 | $0.00 | |
| 3077F | 0% | 42 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.