Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.

NPI: 1780766261 · MISHAWAKA, IN 46545 · Orthopaedic Foot and Ankle Surgery Physician · NPI assigned 10/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KARAM, CHRISTOPHER controls 11+ related entities in our dataset. Read more

$4.81M
Total Medicaid Paid
133,258
Total Claims
115,690
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKARAM, CHRISTOPHER (PRESIDENT)
Parent OrganizationTRINITY HEALTH CORPORATION
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: KARAM, CHRISTOPHER

ProviderCityStateTotal 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. 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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,942 $476K
2019 15,654 $552K
2020 13,548 $469K
2021 15,613 $686K
2022 22,785 $908K
2023 23,861 $925K
2024 21,855 $794K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,615 21,650 $1.86M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,822 28,180 $1.60M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,473 4,013 $345K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,890 1,744 $162K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14,605 12,954 $156K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,504 2,194 $148K
90472 Immunization administration, each additional vaccine (list separately) 8,785 6,675 $146K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,044 972 $89K
90837 Psychotherapy, 53 minutes with patient 1,048 681 $85K
59425 1,173 845 $63K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 460 446 $40K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 220 196 $21K
90686 3,461 3,060 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 626 506 $14K
92551 1,750 1,605 $13K
11721 737 662 $10K
81002 3,411 2,394 $8K
99177 1,706 1,557 $5K
59426 109 65 $4K
99232 Subsequent hospital care, per day, moderate complexity 111 53 $3K
90677 198 190 $2K
96127 393 335 $2K
83036 Hemoglobin; glycosylated (A1C) 339 299 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 52 32 $1K
91320 33 12 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 29 17 $1K
90715 111 103 $1K
90474 72 68 $948.34
90670 1,464 1,337 $785.82
99238 Hospital discharge day management, 30 minutes or less 15 14 $776.51
99442 46 26 $613.52
0002A 20 12 $468.84
0001A 16 12 $412.10
90480 37 12 $389.50
90651 88 84 $301.46
99354 16 15 $180.00
90656 15 14 $179.37
36415 Collection of venous blood by venipuncture 41 40 $154.36
90698 522 491 $97.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 14 12 $62.53
36416 14 13 $39.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 44 41 $10.63
81025 92 85 $9.24
90648 820 776 $1.45
90723 489 460 $0.65
90633 162 154 $0.34
90710 84 82 $0.18
90734 40 37 $0.12
1125F 544 513 $0.00
3008F 8,640 7,909 $0.00
90744 68 63 $0.00
3074F 6,607 5,998 $0.00
3079F 1,265 1,133 $0.00
3044F 29 26 $0.00
1126F 240 219 $0.00
3075F 100 94 $0.00
91305 17 12 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
99024 30 26 $0.00
3080F 15 13 $0.00
59430 30 25 $0.00
90680 29 27 $0.00
3078F 4,790 4,369 $0.00
90681 26 26 $0.00