Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

ST MARY'S MEDICAL GROUP, LLC

Family Medicine·EVANSVILLE, IN·NPI: 1164852539Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.2M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.2M

$31,159,204

Total Claims

1.8M

Beneficiaries

1.5M

1.2 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+83%
2019
$3.9M
-9%
2020
$3.5M
+57%
2021
$5.5M
+3%
2022
$5.7M
-1%
2023
$5.6M
-11%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 31% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$9.8M

212K claims · 31.4%

Your Cost: $46.08/claim|Median: $37.81
1.2× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$7.9M

140K claims · 25.2%

Your Cost: $56.34/claim|Median: $53.41
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

19K claims · 4.9%

Your Cost: $81.71/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

17K claims · 4.8%

Your Cost: $85.73/claim|Median: $75.18
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.4M

64K claims · 4.6%

Your Cost: $22.28/claim|Median: $23.99
0.9× median
59426Normal range

Antepartum care only, high risk, additional visits

$1.1M

15K claims · 3.5%

Your Cost: $74.92/claim|Median: $122.30
0.6× median
90472Top 25%

Immunization administration, each additional vaccine

$654K

25K claims · 2.1%

Your Cost: $26.23/claim|Median: $11.79
2.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$643K

7,439 claims · 2.1%

Your Cost: $86.46/claim|Median: $74.82
1.2× median
59425Normal range

Antepartum care only, 4-6 visits

$530K

8,682 claims · 1.7%

Your Cost: $61.09/claim|Median: $63.63
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$527K

7,724 claims · 1.7%

Your Cost: $68.20/claim|Median: $67.32
1.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$412K

36K claims · 1.3%

Your Cost: $11.57/claim|Median: $9.80
1.2× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$351K

5,357 claims · 1.1%

Your Cost: $65.61/claim|Median: $84.03
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$347K

6,044 claims · 1.1%

Your Cost: $57.38/claim|Median: $51.25
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$329K

8,998 claims · 1.1%

Your Cost: $36.55/claim|Median: $35.30
1.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$279K

9,179 claims · 0.9%

Your Cost: $30.43/claim|Median: $39.63
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$272K

10K claims · 0.9%

Your Cost: $27.12/claim|Median: $54.68
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$242K

3,243 claims · 0.8%

Your Cost: $74.75/claim|Median: $74.09
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$239K

3,967 claims · 0.8%

Your Cost: $60.25/claim|Median: $77.33
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$181K

7,170 claims · 0.6%

Your Cost: $25.23/claim|Median: $25.06
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$177K

4,528 claims · 0.6%

Your Cost: $39.11/claim|Median: $43.85
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$167K

3,782 claims · 0.5%

Your Cost: $44.13/claim|Median: $58.55
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$163K

15K claims · 0.5%

Your Cost: $11.00/claim|Median: $11.48
1.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$159K

3,526 claims · 0.5%

Your Cost: $45.17/claim|Median: $57.85
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$144K

1,638 claims · 0.5%

Your Cost: $88.01/claim|Median: $80.15
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$125K

2,711 claims · 0.4%

Your Cost: $45.96/claim|Median: $112.83
0.4× median
99309Normal range

Nursing facility care, subsequent, low complexity

$123K

17K claims · 0.4%

Your Cost: $7.42/claim|Median: $14.00
0.5× median
87804Normal range

Influenza virus detection, rapid test

$122K

8,988 claims · 0.4%

Your Cost: $13.61/claim|Median: $12.59
1.1× median
90837Top 25%

Psychotherapy, 60 minutes

$122K

1,187 claims · 0.4%

Your Cost: $102.47/claim|Median: $85.66
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$96K

2,411 claims · 0.3%

Your Cost: $39.78/claim|Median: $40.11
1.0× median
90473Normal range

Immunization admin, intranasal, first

$82K

6,475 claims · 0.3%

Your Cost: $12.60/claim|Median: $9.17
1.4× median
99220Normal range

$75K

1,190 claims · 0.2%

Your Cost: $63.07/claim|Median: $73.56
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$74K

26K claims · 0.2%

Your Cost: $2.84/claim|Median: $1.57
1.8× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$70K

2,457 claims · 0.2%

Your Cost: $28.66/claim|Median: $36.13
0.8× median
76830Normal range

Ultrasound, transvaginal

$64K

1,023 claims · 0.2%

Your Cost: $62.20/claim|Median: $57.47
1.1× median
80053Normal range

Comprehensive metabolic panel

$59K

14K claims · 0.2%

Your Cost: $4.27/claim|Median: $7.24
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$58K

1,339 claims · 0.2%

Your Cost: $43.23/claim|Median: $72.71
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$55K

17K claims · 0.2%

Your Cost: $3.29/claim|Median: $4.71
0.7× median
76536Normal range

$46K

702 claims · 0.1%

Your Cost: $65.50/claim|Median: $44.06
1.5× median
81003Normal range

Urinalysis, automated without microscopy

$45K

26K claims · 0.1%

Your Cost: $1.77/claim|Median: $1.48
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$43K

1,584 claims · 0.1%

Your Cost: $27.41/claim|Median: $49.45
0.6× median
96110Normal range

Developmental screening, per standardized instrument

$40K

6,706 claims · 0.1%

Your Cost: $5.89/claim|Median: $9.10
0.6× median
93320Normal range

$39K

2,748 claims · 0.1%

Your Cost: $14.11/claim|Median: $28.68
0.5× median
93016Normal range

$37K

4,197 claims · 0.1%

Your Cost: $8.88/claim|Median: $12.24
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$33K

5,958 claims · 0.1%

Your Cost: $5.48/claim|Median: $9.70
0.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$32K

475 claims · 0.1%

Your Cost: $67.09/claim|Median: $106.79
0.6× median
76818Normal range

$31K

741 claims · 0.1%

Your Cost: $41.77/claim|Median: $68.15
0.6× median
99219Normal range

$30K

638 claims · 0.1%

Your Cost: $47.46/claim|Median: $63.35
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$30K

1,959 claims · 0.1%

Your Cost: $15.30/claim|Median: $12.93
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$27K

6,548 claims · 0.1%

Your Cost: $4.06/claim|Median: $5.50
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$25K

14K claims · 0.1%

Your Cost: $1.85/claim|Median: $7.18
0.3× median

Other Top Providers in Indiana

View all →

Bowen Health INC

Psychiatric Hospital

$509.3M

Centerstone of Indiana, Inc.

Community/Behavioral Health

$318.9M

A.w. Holdings LLC

Psychologist Intellectual & Developmental Disabil

$260.2M

Meridian Services

Community/Behavioral Health

$245.2M

The Health and Hospital Corporation of Marion County

Psychiatric Unit

$231.5M

Similar Providers

Other top providers in Family Medicine

Dap Health, Inc.

El Cajon, CA

$270.2M

Adelante Healthcare, Inc.

Phoenix, AZ

$245.9M

Fast Pace Medical Clinic PLLC

Spring Hill, TN

$179.4M

← All providersAll providers in Indiana →How we detect fraud →