Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

St. Vincent Medical Group, Inc. (NPI 1376816975)

Field	Value
Entity Type	Organization
Organization	St. Vincent Medical Group, Inc.
Address	301 Henry St
City	North Vernon
State	IN
ZIP	47265
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	February 14, 2012

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

94 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	68,030	$60	$4.2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	58,800	$50	$2.6M
T1015	Clinic visit/encounter, all-inclusive	80,240	$20	$1.2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,890	$80	$459K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,760	$70	$347.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,380	$70	$301.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,170	$70	$145.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	16,770	$10	$134.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	8,700	$20	$130.5K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,500	$80	$118.2K

Showing 1–10 of 94

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

St. Vincent Medical Group, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	41	2,120	870	$60	$450.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	57	2,380	920	$50	$376.8K
T1015	Clinic visit/encounter, all-inclusive	16	400	5,220	$20	$360.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	52	280	880	$80	$267.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	43	290	770	$80	$250.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	34	320	310	$80	$133.9K
92558	In this procedure, the provider passes low intensity sounds through the ear and measures the reflected sound to analyze hearing deficiencies in newborn babies and small children who are not able to…	6	10	150	$60	$113.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	107	220	190	$90	$112.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	332	790	150	$90	$99.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	106	510	180	$90	$93.6K

Showing 1–10 of 94

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Vincent Medical Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Vincent Medical Group, Inc.	IN	Orthopaedic Surgery Physician	$0	$70.4M
St Mary's Medical Group, LLC	IN	Family Medicine Physician	$0	$31.1M
Decatur County Memorial Hospital	IN	Critical Access Hospital	$0	$8.2M
St. Vincent Medical Group, Inc.	IN	Rural Health Clinic/Center	$0	$3M
Douglas Debenham	IN	Radiation Oncology Physician	$1.8M	$0
Adam Olmsted	OH	Diagnostic Radiology Physician	$1.1M	$0
Ayad Agha	AZ	Diagnostic Radiology Physician	$1M	$0
Gilbert Maulsby	OH	Diagnostic Radiology Physician	$932.5K	$0
Tarek Kteleh	IN	Rheumatology Physician	$674.3K	$0
Michael Watterson	NC	Rheumatology Physician	$669.3K	$2.6K

Nearby Providers

Other providers in the same ZIP code as St. Vincent Medical Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Vincent Jennings Hospital, Inc.	IN	Critical Access Hospital	$0	$4.3M
Neil Hill	IN	Family Medicine Physician	$125.4K	$59.2K
James Lisle	IN	Optometrist	$84.8K	$0
Gary Stewart	IN	Anesthesiology Physician	$18.2K	$0
Samuel Steffey	IN	Anesthesiology Physician	$16.7K	$0
Vasundhara Voleti	IN	Family Medicine Physician	$12.3K	$0

St. Vincent Medical Group, Inc. — Billing Profile & Reimbursement Data

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St. Vincent Medical Group, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References