Behavioral
ST Vincent Medical Education and Research Institute INC
ST Vincent Medical Education and Research Institute INC was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
ERIE, PA 16502
ERIE, PA 16502
33aNPI1902881477assigned 12/07/2005
33bProvider typePsychologist
28Total paid$1.39M
24GClaims71,948
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Pennsylvania
Rank by total paid#23 of 170
Median peer was paid$102K
This provider vs. median14×
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 | 2,173 | $65K | |
| 2019 | 3,404 | $94K | |
| 2020 | 3,776 | $75K | |
| 2021 | 28,336 | $448K | |
| 2022 | 19,920 | $329K | |
| 2023 | 8,573 | $209K | |
| 2024incomplete | 5,766 | $173K |
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 | 41% | 16,811 | 15,856 | $577K |
| 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 | 37% | 10,462 | 9,986 | $511K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 3.1% | 1,709 | 1,447 | $43K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 899 | 330 | $37K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.5% | 936 | 796 | $20K |
| 90686 | 1.4% | 2,392 | 2,347 | $20K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 247 | 229 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 240 | 201 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 151 | 145 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 926 | 823 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 135 | 110 | $10K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 121 | 51 | $10K |
58 more codes
| 99460 | <1% | 157 | $8K | |
| 90715 | <1% | 618 | $8K | |
| 90734 | <1% | 496 | $7K | |
| 90651 | <1% | 517 | $7K | |
| 90670 | <1% | 871 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 313 | $5K |
| 3074F | <1% | 13,532 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 151 | $4K |
| 3078F | <1% | 9,731 | $3K | |
| 90698 | <1% | 613 | $3K | |
| 11721 | <1% | 615 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 141 | $3K |
| 90633 | <1% | 424 | $3K | |
| 90680 | <1% | 480 | $3K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 25 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 220 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $2K |
| 91320 | <1% | 15 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 37 | $1K |
| 97597 | <1% | 69 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 137 | $1K |
| S9470 | Nutritional counseling, dietitian visit | <1% | 98 | $1K |
| 90744 | <1% | 272 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 201 | $1K |
| 90710 | <1% | 137 | $908.20 | |
| 94729 | <1% | 43 | $833.57 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 96 | $791.06 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 85 | $779.93 |
| 90696 | <1% | 81 | $779.20 | |
| 92551 | <1% | 154 | $771.31 | |
| 17110 | <1% | 12 | $706.58 | |
| 94727 | <1% | 42 | $694.61 | |
| 86580 | <1% | 240 | $641.77 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 65 | $611.50 |
| 99173 | <1% | 179 | $586.42 | |
| 90656 | <1% | 157 | $514.84 | |
| 73610 | <1% | 17 | $474.27 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $460.16 |
| 96127 | <1% | 132 | $445.96 | |
| 3079F | <1% | 902 | $440.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 802 | $436.43 |
| 90707 | <1% | 13 | $306.34 | |
| 90716 | <1% | 12 | $275.80 | |
| 99462 | <1% | 13 | $239.71 | |
| 81003 | <1% | 108 | $231.21 | |
| 11056 | <1% | 12 | $170.24 | |
| 96161 | <1% | 28 | $101.27 | |
| 83655 | <1% | 16 | $76.50 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 41 | $47.25 |
| 96160 | <1% | 26 | $31.90 | |
| 3075F | <1% | 14 | $30.00 | |
| 4010F | <1% | 12 | $20.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,813 | $0.00 |
| 90677 | 0% | 121 | $0.00 | |
| 3008F | 0% | 706 | $0.00 | |
| 1111F | 0% | 879 | $0.00 | |
| 90619 | 0% | 75 | $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 officialHATT, TAMARA (MANAGER PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Lake Erie Medical Group PC | Erie, PA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.