Saint Joseph Regional Medical Center-South Bend Campus, INC
Saint Joseph Regional Medical Center-South Bend Campus, INC was paid $374K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99460, — 25% of everything it billed.
MISHAWAKA, IN 46545
Next to other Obstetrics & Gynecology Physician providers in Indiana
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 | 1,001 | $45K | |
| 2019 | 698 | $29K | |
| 2020 | 419 | $21K | |
| 2021 | 792 | $41K | |
| 2022 | 662 | $59K | |
| 2023 | 2,117 | $106K | |
| 2024incomplete | 1,880 | $73K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99460 | 25% | 1,446 | 1,281 | $92K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 22% | 1,660 | 1,470 | $82K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 11% | 160 | 25 | $40K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 7.3% | 268 | 155 | $27K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 5.8% | 259 | 51 | $22K |
| 99462 | 5.0% | 646 | 457 | $19K | |
| 99235 | 4.6% | 167 | 147 | $17K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 433 | 244 | $16K |
| 99221 | 3.1% | 202 | 180 | $11K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 2.1% | 101 | 24 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.9% | 130 | 82 | $7K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.5% | 218 | 96 | $6K |
13 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.1% | 255 | $4K |
| 59025 | Fetal non-stress test | <1% | 196 | $4K |
| 95886 | <1% | 100 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 59 | $2K |
| 94726 | <1% | 350 | $2K | |
| 94060 | <1% | 374 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 77 | $2K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 29 | $2K |
| 94729 | <1% | 359 | $2K | |
| 99218 | <1% | 25 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $1K |
| 99464 | <1% | 13 | $579.80 | |
| 99000 | <1% | 30 | $52.26 |
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
| 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- Plymouth Campus INC | Plymouth, IN | $771K |
| 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.