Physician
ST Vincent Physician Services Hospital and Health Care Center
ST Vincent Physician Services Hospital and Health Care Center was paid $14.02M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
33aNPI1669422234assigned 05/12/2006
33bProvider typePediatrics Physician
28Total paid$14.02M
24GClaims856,642
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#1 of 119
Median peer was paid$395K
This provider vs. median35×
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 MORRIS, BRIAN controls 13+ 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 | 53,607 | $1.17M | |
| 2019 | 43,078 | $1.63M | |
| 2020 | 43,422 | $1.64M | |
| 2021 | 150,258 | $2.34M | |
| 2022 | 176,564 | $2.34M | |
| 2023 | 254,683 | $2.89M | |
| 2024incomplete | 135,030 | $2.01M |
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 | 20% | 69,072 | 60,495 | $2.83M |
| 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 | 18% | 45,691 | 38,398 | $2.54M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 71,649 | 23,842 | $1.86M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 13,413 | 12,832 | $1.14M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 12,843 | 12,223 | $1.13M |
| 59430 | 6.6% | 9,755 | 7,401 | $928K | |
| 59425 | 4.4% | 16,276 | 13,387 | $622K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 6,243 | 5,799 | $559K |
| 59426 | 3.6% | 12,928 | 9,372 | $506K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.0% | 9,861 | 4,075 | $415K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 3,492 | 3,384 | $326K |
| 99223 | Prolong inpt eval add15 m | 2.2% | 4,293 | 3,497 | $314K |
66 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,613 | $96K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 26,502 | $91K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,214 | $83K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,804 | $75K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,852 | $71K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,829 | $67K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,591 | $64K |
| 59025 | Fetal non-stress test | <1% | 3,528 | $53K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,755 | $32K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 116 | $31K |
| 99381 | <1% | 423 | $30K | |
| 92551 | <1% | 3,276 | $23K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 541 | $23K |
| 99173 | <1% | 11,067 | $19K | |
| 99220 | <1% | 290 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 785 | $12K |
| 96127 | <1% | 2,701 | $10K | |
| 99221 | <1% | 127 | $7K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 88 | $6K |
| 90837 | Psychotherapy session, about an hour | <1% | 52 | $4K |
| 94664 | <1% | 378 | $4K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 333 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 60 | $4K |
| 94010 | <1% | 159 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 104 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 26 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 24 | $2K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 47 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 60 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 493 | $2K |
| 99442 | <1% | 186 | $1K | |
| 99219 | <1% | 219 | $1K | |
| 11750 | <1% | 12 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $930.00 |
| 99217 | <1% | 269 | $821.84 | |
| 92700 | <1% | 38 | $773.38 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 21 | $706.50 |
| 96160 | <1% | 190 | $611.62 | |
| 11721 | <1% | 63 | $395.98 | |
| 99443 | <1% | 30 | $366.78 | |
| 92587 | <1% | 17 | $220.64 | |
| 92567 | <1% | 15 | $172.48 | |
| 94760 | <1% | 107 | $147.56 | |
| 99441 | <1% | 15 | $80.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 46 | $50.44 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 75 | $1.50 |
| 1159F | 0% | 69,756 | $0.00 | |
| 1160F | 0% | 83,050 | $0.00 | |
| 3078F | 0% | 71,916 | $0.00 | |
| 3725F | 0% | 6,304 | $0.00 | |
| 3077F | 0% | 1,737 | $0.00 | |
| 91300 | 0% | 93 | $0.00 | |
| 3288F | 0% | 1,087 | $0.00 | |
| 99225 | 0% | 227 | $0.00 | |
| 0002A | 0% | 16 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 55 | $0.00 |
| 0003A | 0% | 42 | $0.00 | |
| 1036F | 0% | 77,737 | $0.00 | |
| 3074F | 0% | 76,828 | $0.00 | |
| 3008F | 0% | 103,418 | $0.00 | |
| 3079F | 0% | 7,616 | $0.00 | |
| 1126F | 0% | 9,142 | $0.00 | |
| 1125F | 0% | 1,137 | $0.00 | |
| 3075F | 0% | 1,500 | $0.00 | |
| 3080F | 0% | 186 | $0.00 | |
| 1034F | 0% | 124 | $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 officialMORRIS, BRIAN (CFO (SVMG))
Parent organizationST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| ST. Vincent Medical Group, INC. | Winchester, IN | $70.38M |
| ST Mary's Medical Group, LLC | Evansville, IN | $31.16M |
| ST. Vincent Medical Group, INC. | North Vernon, IN | $10.13M |
| ST. Vincent Medical Group, INC. | Winchester, IN | $2.96M |
| ST. Vincent Hospital & Health Care Center, INC. | Indianapolis, IN | $2.50M |
| ST. Vincent Medical Group, INC. | Union City, IN | $1.39M |
| ST Vincent Pediatric Subspecialties | Evansville, IN | $613K |
| ST. Joseph Hospital & Health Center, INC. | Kokomo, IN | $239K |
| ST. Mary's Health, INC | Evansville, IN | $238K |
| ST. Joseph Hospital & Health Center, INC. | Kokomo, IN | $56K |
| ST Vincent Physician Services Hospital and Health Care Center | Carmel, IN | $41K |
| ST. Joseph Primary Care, LLC | Kokomo, IN | $14K |
| ST. Vincent Medical Group, INC. | Crawfordsville, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.