Physician
South Bend Medical Foundation, INC
South Bend Medical Foundation, INC was paid $301K by Medicaid between Nov 2020 and Nov 2024, across 6 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 86% of everything it billed.
33Billing provider infoSOUTH BEND MEDICAL FOUNDATION, INC
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
33aNPI1922623305assigned 06/11/2020
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$301K
24GClaims7,676
24DCodes billed6
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Indiana
Rank by total paid#12 of 38
Median peer was paid$72K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2020 | 50 | $0.00 | |
| 2021 | 1,319 | $43K | |
| 2022 | 1,825 | $73K | |
| 2023 | 2,539 | $102K | |
| 2024incomplete | 1,943 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 86% | 6,642 | 6,196 | $259K |
| 88307 | 12% | 609 | 589 | $37K | |
| 88342 | <1% | 120 | 118 | $3K | |
| 88304 | <1% | 266 | 261 | $2K | |
| 88141 | <1% | 26 | 25 | $398.84 | |
| 85060 | <1% | 13 | 12 | $193.83 |
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 officialPIPP, TERRY (CFO)
| Provider | Location | Paid |
|---|---|---|
| South Bend Medical Foundation, INC | South Bend, IN | $5.78M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.