Saint Joseph Regional Medical Center- Plymouth Campus INC
Saint Joseph Regional Medical Center- Plymouth Campus INC was paid $9K by Medicaid between Jan 2018 and Dec 2023, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.
PLYMOUTH, IN 46563
Next to other Critical Care Medicine (Internal Medicine) 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 | 362 | $4K | |
| 2019 | 43 | $1K | |
| 2020 | 33 | $663.99 | |
| 2021 | 12 | $533.99 | |
| 2022 | 38 | $898.97 | |
| 2023 | 39 | $1K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 51% | 304 | 121 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | 27% | 160 | 136 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.8% | 17 | 12 | $839.54 |
| 99217 | 7.8% | 24 | 24 | $670.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.1% | 22 | 15 | $353.02 |
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 | $374K |
| Saint Joseph Regional Medical Center-South Bend Campus, INC. | Mishawaka, IN | $10K |
| 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.