Physician
Saint Joseph Regional Medical Center- Plymouth Campus INC
Saint Joseph Regional Medical Center- Plymouth Campus INC was paid $771K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoSAINT JOSEPH REGIONAL MEDICAL CENTER- PLYMOUTH CAMPUS INC
PLYMOUTH, IN 46563
PLYMOUTH, IN 46563
33aNPI1538585187assigned 03/06/2014
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$771K
24GClaims19,506
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Indiana
Rank by total paid#3 of 6
Median peer was paid$283K
This provider vs. median2.7×
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 | 1,761 | $19K | |
| 2019 | 2,619 | $100K | |
| 2020 | 1,985 | $82K | |
| 2021 | 2,406 | $139K | |
| 2022 | 3,829 | $153K | |
| 2023 | 3,797 | $154K | |
| 2024incomplete | 3,109 | $123K |
Box 24 · Service lines
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 | 50% | 5,866 | 5,231 | $387K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 8,249 | 6,681 | $341K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 184 | 165 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 296 | 235 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 101 | 88 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 74 | 64 | $5K |
| 90686 | <1% | 284 | 227 | $4K | |
| 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% | 19 | 18 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 39 | 25 | $2K |
| 11721 | <1% | 109 | 102 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 135 | 123 | $594.56 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 250 | 205 | $518.12 |
12 more codes
| 90656 | <1% | 29 | $425.50 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 37 | $413.16 |
| 99442 | <1% | 29 | $275.50 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 20 | $141.77 |
| 3079F | 0% | 526 | $0.00 | |
| 3074F | 0% | 1,142 | $0.00 | |
| 3075F | 0% | 251 | $0.00 | |
| 3008F | 0% | 625 | $0.00 | |
| 3080F | 0% | 53 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 18 | $0.00 |
| 3078F | 0% | 1,000 | $0.00 | |
| 3077F | 0% | 170 | $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, 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-South Bend Campus, INC. | South Bend, IN | $923K |
| 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.