Physician
ST Joseph Medical Group INC
ST Joseph Medical Group INC was paid $411K by Medicaid between Jan 2018 and Apr 2018, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoST JOSEPH MEDICAL GROUP INC
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
33aNPI1811952070assigned 04/19/2006
33bProvider typeAnesthesiology Physician
28Total paid$411K
24GClaims18,072
24DCodes billed43
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Anesthesiology Physician providers in Indiana
Rank by total paid#16 of 64
Median peer was paid$19K
This provider vs. median22×
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.
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 | 18,072 | $411K |
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 | 32% | 4,112 | 3,025 | $131K |
| 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 | 20% | 2,423 | 1,678 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 658 | 447 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 574 | 380 | $46K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.0% | 2,067 | 447 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 139 | 129 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 118 | 84 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 377 | 274 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 1,527 | 868 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 938 | 515 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 401 | 249 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 562 | 344 | $6K |
31 more codes
| 90870 | 1.2% | 301 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.2% | 1,098 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 263 | $4K |
| 99460 | <1% | 39 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 103 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 55 | $1K |
| 81003 | <1% | 561 | $929.29 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $678.83 |
| 90688 | <1% | 85 | $478.96 | |
| 90474 | <1% | 87 | $402.72 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 334 | $359.26 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $205.09 |
| 93000 | <1% | 153 | $200.95 | |
| 90670 | <1% | 144 | $188.26 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 32 | $156.00 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 22 | $140.94 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 176 | $138.08 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 61 | $110.60 |
| 90680 | <1% | 20 | $86.25 | |
| 90723 | <1% | 31 | $74.60 | |
| 90633 | <1% | 62 | $68.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 33 | $35.22 |
| 99173 | <1% | 14 | $15.90 | |
| 59425 | <1% | 78 | $10.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 84 | $0.00 |
| 90698 | 0% | 22 | $0.00 | |
| 90686 | 0% | 19 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 105 | $0.00 |
| 99221 | 0% | 86 | $0.00 | |
| 90648 | 0% | 27 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 26 | $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 officialARWOOD, SOPHIA (DIRECTOR OF PHYSICIAN OPERATIONS)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.