Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › SOUTH BEND › SOUTH BEND MEDICAL FOUNDATION, INC

SOUTH BEND MEDICAL FOUNDATION, INC

NPI: 1649241084 · SOUTH BEND, IN 46635 · Clinical Medical Laboratory · NPI assigned 02/01/2006

$5.78M
Total Medicaid Paid
486,541
Total Claims
408,625
Beneficiaries
247
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPIPP, TERRY (CFO)
NPI Enumeration Date02/01/2006

Related Entities

Other providers sharing the same authorized official: PIPP, TERRY

ProviderCityStateTotal Paid
SOUTH BEND MEDICAL FOUNDATION, INC SOUTH BEND IN $301K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 261,696 $1.75M
2019 176,958 $2.39M
2020 13,158 $423K
2021 5,939 $276K
2022 7,506 $289K
2023 13,412 $338K
2024 7,872 $313K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 42,065 31,981 $1.41M
88307 7,614 6,136 $401K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12,602 11,537 $260K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12,546 11,484 $259K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,006 5,096 $254K
80050 General health panel 5,881 5,259 $201K
80053 Comprehensive metabolic panel 27,191 21,599 $127K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,966 6,202 $116K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,900 22,049 $110K
88341 3,091 2,031 $107K
80061 Lipid panel 14,972 13,515 $107K
84443 Thyroid stimulating hormone (TSH) 13,057 11,831 $103K
87653 3,710 3,603 $96K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 8,441 8,049 $96K
88342 4,629 3,375 $96K
88304 9,066 7,293 $91K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5,041 4,761 $89K
86003 1,235 978 $87K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,304 4,098 $79K
83655 5,641 5,417 $62K
83036 Hemoglobin; glycosylated (A1C) 9,556 8,549 $48K
36415 Collection of venous blood by venipuncture 42,464 31,973 $48K
87536 831 756 $46K
87086 Culture, bacterial; quantitative colony count, urine 8,894 8,193 $45K
80074 1,568 1,401 $44K
80055 1,380 1,347 $42K
85027 9,418 8,488 $36K
88112 3,196 2,070 $34K
86481 499 489 $31K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,129 1,590 $31K
88312 1,651 1,289 $30K
87081 5,574 5,391 $30K
86780 3,081 2,847 $29K
84439 5,194 4,647 $28K
86762 2,600 2,442 $27K
82728 3,283 2,916 $25K
86360 773 700 $24K
83516 953 842 $24K
83970 1,483 1,315 $24K
88302 2,614 2,147 $23K
87631 176 170 $22K
87522 Neg quan hep c or qual rna 759 669 $22K
86359 784 706 $20K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 737 697 $20K
86480 557 492 $19K
87186 3,467 3,154 $19K
87340 3,407 3,182 $19K
80048 Basic metabolic panel (calcium, ionized) 5,989 5,149 $19K
84403 1,181 1,082 $19K
82607 2,477 2,268 $18K
84702 2,523 1,986 $18K
82677 850 806 $17K
82105 1,361 1,253 $16K
86334 2,910 1,833 $16K
88141 1,302 1,250 $15K
88360 391 266 $15K
84153 1,601 1,429 $15K
87077 2,265 2,088 $14K
87088 2,577 2,408 $14K
84481 1,391 1,245 $14K
82570 5,332 4,576 $13K
83550 2,873 2,584 $13K
86803 1,345 1,238 $13K
86038 1,807 1,620 $13K
86850 3,363 3,142 $12K
86235 180 166 $12K
83735 4,103 2,879 $12K
83020 1,057 763 $11K
82950 3,047 2,853 $11K
88173 301 227 $11K
82784 1,067 956 $11K
88313 741 567 $11K
86336 839 794 $11K
81001 6,442 5,719 $11K
83540 3,073 2,767 $10K
86255 967 828 $10K
85060 1,158 977 $10K
86696 392 363 $10K
82785 586 542 $9K
86787 939 889 $9K
84146 702 616 $9K
80164 1,036 884 $9K
84165 3,398 2,279 $9K
88189 315 235 $9K
82670 434 390 $8K
82652 358 322 $8K
82746 1,011 919 $7K
80177 735 652 $7K
80069 1,993 1,677 $7K
85610 4,134 2,414 $7K
83001 627 571 $7K
86376 633 592 $7K
87070 1,245 1,157 $7K
82043 2,477 2,275 $7K
86901 3,167 2,949 $7K
83880 487 400 $6K
86900 3,052 2,832 $6K
88311 1,521 1,180 $6K
86140 2,214 1,780 $6K
83525 703 659 $6K
84156 3,395 2,777 $6K
87449 584 530 $6K
83883 453 371 $5K
82951 508 456 $5K
86695 342 321 $5K
80175 475 399 $5K
80197 941 596 $5K
87147 617 579 $4K
82248 1,086 846 $4K
87510 603 558 $4K
87480 603 558 $4K
87660 603 558 $4K
85652 2,751 2,280 $4K
86800 351 316 $4K
86592 1,335 1,257 $4K
83002 269 253 $4K
80183 323 272 $4K
80076 963 810 $4K
86160 219 198 $4K
87205 1,389 1,294 $4K
83921 250 243 $4K
84550 1,357 1,149 $4K
82378 386 309 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 47 45 $3K
87902 14 14 $3K
84460 1,054 856 $3K
82747 427 393 $3K
82668 296 281 $3K
87427 360 351 $3K
87329 358 337 $3K
82550 1,251 888 $3K
85660 611 572 $3K
84450 966 776 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 132 129 $3K
82247 693 534 $3K
84100 1,691 1,026 $3K
87328 307 290 $3K
82140 412 346 $3K
84144 249 207 $3K
87529 92 91 $3K
86706 359 336 $3K
83615 811 656 $3K
86431 796 720 $3K
87046 361 352 $3K
87045 359 350 $3K
86304 224 179 $3K
86300 147 121 $3K
82565 954 762 $2K
84166 497 424 $2K
82024 72 70 $2K
84402 109 107 $2K
87808 178 163 $2K
80178 654 559 $2K
87338 166 163 $2K
87493 98 92 $2K
85730 500 411 $2K
83013 30 29 $2K
88331 62 40 $2K
86335 237 166 $2K
85097 64 40 $2K
82533 139 124 $2K
83690 695 618 $2K
82150 434 381 $2K
82977 324 239 $2K
87324 204 192 $2K
84270 97 86 $1K
84155 807 700 $1K
85018 939 765 $1K
86200 193 181 $1K
84703 380 342 $1K
85014 874 704 $1K
85045 463 411 $1K
84520 660 508 $1K
86618 123 121 $1K
80081 15 15 $1K
82952 365 330 $1K
82627 49 47 $1K
82310 451 409 $1K
82164 71 69 $1K
82947 430 372 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 59 57 $957.84
83090 92 81 $910.23
85379 174 165 $893.91
86606 29 26 $812.86
86765 67 65 $739.30
84305 39 39 $731.01
88108 46 37 $727.21
80359 255 221 $687.04
80325 188 167 $679.65
82664 28 28 $664.05
86039 64 63 $626.72
86147 14 14 $576.07
84207 26 25 $575.49
87799 58 43 $564.18
86225 37 34 $492.63
85613 69 59 $476.96
82330 82 68 $473.57
82274 28 28 $459.17
83721 125 120 $448.76
84075 218 198 $429.20
84436 76 73 $415.27
85705 56 47 $393.96
87075 87 84 $381.62
85306 26 25 $361.07
83630 26 26 $355.69
83520 45 40 $345.40
80356 227 186 $334.16
80365 228 186 $334.16
80361 228 186 $334.16
84134 78 69 $328.53
80201 31 29 $266.56
88142 13 13 $262.06
87206 70 57 $257.34
83010 29 25 $240.70
84132 188 162 $235.57
87040 38 24 $201.42
82040 179 164 $190.49
84630 42 40 $186.66
86141 16 14 $181.74
80185 46 31 $174.01
84295 126 111 $166.00
80051 43 40 $159.49
85300 14 13 $152.06
82103 13 12 $145.52
80156 35 27 $144.78
86735 12 12 $140.68
84681 12 12 $137.45
80184 15 13 $122.68
87102 22 19 $111.98
83993 12 12 $92.36
82374 113 98 $81.23
82435 113 98 $80.88
80047 31 30 $78.28
87210 42 38 $78.13
86308 12 12 $72.42
80195 21 12 $50.88
81015 18 12 $20.37
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 520 488 $0.65
G0475 Hiv antigen/antibody, combination assay, screening 25 24 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 118 101 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 173 170 $0.00
0065U 657 639 $0.00
87428 35 34 $0.00
87797 26 26 $0.00
80324 53 42 $0.00
81025 26 25 $0.00
86008 15 14 $0.00