Evansville St. Vincent Clay Hospital Inc. / Memorial Hospital Orange County Hospital Parkview Hospital Inc. / Repayment 200119790 Clarian Health Partners / Blackford Mental Health 100273170 Hamilton Center Inc. / St. Vincent Randolph Hospital Inc. / Cameron Memorial Hospital 200119790 Clarian Health Partners Inc. / Seton Hospital Inc. / Community Hospital Lafayette Home Hospital LaPorte Hospital Inc. / Community Mental Health Center Wabash Valley Hospital Inc. / Anderson Lafayette Home Hospital Inc. / Vincent Randolph Hospital Inc. / Community Hospital St. Vincent Randolph Hospital Inc. / Madison Hospital Corporation / Michigan City Lafayette Home Hospital Inc. / St. Vincent Frankfort Hospital Inc. / Grant-Blackford Mental Health Hamilton Center Inc. / Clarian Health Partners / Union Hospital Wabash County Hospital Warrick Hospital Inc / County 200119790 Clarian Health Partners / Stauffer LC / Hospital 200321460 St. Vincent Randolph Hospital Inc. / Medicaid Supplemental Payment 200119790 Clarian Health Partners / Michigan City 100269040 Lafayette Home Hospital Inc. / Vincent Hospital St. Vincent Mercy Hospital Inc. / Northlake 200119790 Clarian Health Partners / Mental Health Center 100273160 Wabash Valley Hospital Inc. / Partial Safety Net 200119790 Clarian Health Partners / St. Elizabeth Ann Seton Hospital Inc. / Marion County 200119790 Clarian Health Partners / /
Facility
Community Hospital of Anderson / Blackford County Hospital / Daviess County Hospital / Fort Wayne / Joseph Community Hospital Wishard Memorial Hospital / Community Hospital / Jasper County Hospital / Hendricks Community Hospital / Hospital Greene County General Hospital Hancock / Joseph Medical Center / Kindred Hospital / Memorial Hospital / Bluffton Regional Hospital / Lutheran Hospital / Regional Medical Center / Adams County Memorial Hospital / Gibson General Hospital / Blackford Community Hospital / Huntington Memorial Hospital / Richmond State Hospital / Major Hospital / Bedford Regional Medical Center / St. Anthony Hospital / Hospital Harrison County Hospital Hendricks Community Hospital Howard Community Hospital Jasper / Wishard Memorial Hospital / Clark Memorial Hospital / Health Centers St. Anthony Hospital / Marion General Hospital / Joseph's Hospital / Wabash County Hospital / Memorial Hospital of Seymour / Memorial Hospital of South Bend / County Hospital / Hospital White County Memorial Hospital Winona Memorial Hospital / Kendrick Memorial Hospital / Logansport Memorial Hospital of Seymour Morgan County / Fort Wayne Memorial Hospital of South Bend Terre Haute Regional Hospital Community Hospital / Good Samaritan Hospital / Hancock Memorial Hospital / Jasper Memorial Hospital of Seymour Methodist Hospital / Fayette Memorial Hospital / County Memorial Hospital White County Memorial Hospital Witham Memorial Woodlawn Hospital / White County Memorial Hospital / Floyd Memorial Hospital / Southlake Morgan County Memorial Hospital Orange County Hospital Parkview Hospital / Inc Washington County Memorial Hospital West Central Community Hospital / Marion County Kindred Hospital / County Hospital Johnson Memorial Hospital Major Hospital Memorial Hospital / Ball Memorial Hospital / Deaconess Hospital / Community Hospital of Bremen / Methodist Hospitals Northlake Campus / Northlake Methodist Hospital / Morgan County Memorial Hospital / Southern Indiana Memorial Hospital / Woodlawn Hospital / Dunn Memorial Hospital / Harrison County Hospital / Hospital Putnam County Hospital Reid Hospital / Catherine Hospital Wishard Memorial Hospital / Marion County Witham Memorial Hospital Woodlawn Hospital Whitley County Memorial Hospital / Scott Memorial Hospital / Johnson Memorial Hospital / Terre Haute Regional Hospital / DeKalb Memorial Hospital / Rush Memorial Hospital / Joseph Regional Medical Center / Joseph Hospital St. Joseph Hospital / Washington County Memorial Hospital / Hospital Care / Vincent Children's Specialty Methodist Hospital / Dearborn County Hospital / Howard Community Hospital / Logansport Memorial Hospital / Mary's Medical Center / Pulaski Memorial Hospital / Plymouth Campus Scott County Memorial Hospital Select Speciality Hospital of Northwest / Decatur County Hospital / Columbus Regional Hospital / Methodist Hospital / Goshen General Hospital / Decatur County Memorial Hospital / St. Catherine Hospital / Tipton County Memorial Hospital / Hospital of Indianapolis Tipton County Hospital Union Hospital Wabash County Hospital Warrick / Richmond State Hospital Carter State Hospital / Vincent Frankfort Hospital Community Hospital of Anderson / South Bend Memorial Hospital / Wirth Osteopathic Hospital Wishard Memorial Hospital / Jay County Hospital / BHC Meadows Hospital / Carter State Hospital / Dukes Memorial Hospital / Specialty Clarian Health Partners Methodist Hospitals Northlake Campus Wishard Memorial Hospital / Hospital Putnam County Hospital Riverview Hospital Tipton County Memorial Hospital Washington / Greene County General Hospital / Bloomington Hospital / Specialty Clarian Health Partners Clarian Health Partners Wishard Memorial Hospital / Elkhart General Hospital / Indiana St. Anthony Hospital / St. Joseph Medical Center / Logansport State Hospital / Henry County Memorial Hospital / Anderson St. Anthony Hospital / Evansville State Hospital / Madison State Hospital / Clark County Memorial Hospital / Health Center St. Joseph Medical Center / Sullivan County Hospital / Riverview Hospital / Joseph Community Hospital / Putnam County Hospital / /
Holiday
St. Joseph / /
Organization
Vincent Randolph Hospital / Memorial Hospital Putnam County Hospital Reid Hospital / Health Care Center / Clark County Memorial Hospital / Bloomington Hospital / Richmond State Hospital / Richmond State Hospital Carter State Hospital / Huntington Memorial Hospital / Community Hospital of Bremen / Dearborn County Hospital / Evansville State Hospital / Adams County Memorial Hospital / Deaconess Hospital / Howard Community Hospital / Dukes Memorial Hospital / BHC Meadows Hospital / Lafayette Home Hospital / Vincent Frankfort Hospital Community Hospital of Anderson / Floyd Memorial Hospital / Hendricks Community Hospital / Bluffton Regional Hospital / Scott County Memorial Hospital Select Speciality Hospital / Vincent Frankfort Hospital St. Joseph Medical Center / Community Mental Health Center / Carter State Hospital / Morgan County Memorial Hospital / Southern Indiana Memorial Hospital / Ball Memorial Hospital / Women's Hospital / South Bend Memorial Hospital / Wishard Memorial Hospital / White County Memorial Hospital / Memorial Woodlawn Hospital / Wabash County Hospital / Logansport Memorial Hospital / Inc. Marion General Hospital / Southlake Community Mental Health Center / Methodist Hospital / Henry County Memorial Hospital / Decatur County Hospital / Deaconess St. Joseph's Hospital / Dunn Memorial Hospital / Fort Wayne Memorial Hospital / Memorial Hospital Orange County Hospital Parkview Hospital / Perry County Memorial Hospital / Memorial Hospital of Seymour / Cameron Memorial Hospital / Hospital White County Memorial Hospital Winona Memorial Hospital / Memorial Hospital Woodlawn Hospital Whitley County Memorial Hospital / Decatur County Memorial Hospital / Harrison County Hospital / Good Samaritan Hospital / Northlake Methodist Hospital / Woodlawn Hospital / Oaklawn Psychiatric Center / Fayette Memorial Hospital / Putnam County Hospital / Rush Memorial Hospital / Vincent Frankfort Hospital / Michigan City Lafayette Home Hospital / Hancock Memorial Hospital / Logansport State Hospital / Blackford County Hospital / Goshen General Hospital / Memorial Hospital / Memorial Hospital of Seymour Methodist Hospital / Jay County Hospital Johnson Memorial Hospital / Evansville State Hospital Madison State Hospital / Madison State Hospital / Terre Haute Regional Hospital / Washington County Memorial Hospital / Daviess County Hospital / Gibson General Hospital / Seton Hospital / Marion General Hospital / Jay County Hospital / Kendrick Memorial Hospital / Scott Memorial Hospital / Blackford Community Hospital / Vincent Children's Specialty Methodist Hospital / Greene County General Hospital / Major Hospital / Kindred Hospital / Community Hospital / Marion County Kindred Hospital / DeKalb Memorial Hospital / Porter Memorial Hospital / Elkhart General Hospital / Jasper County Hospital / Community Hospital of Anderson / Anderson Lafayette Home Hospital / St. Joseph Community Hospital Wishard Memorial Hospital / Sullivan County Hospital / St. Joseph Community Hospital / Anthony Hospital / Clark Memorial Hospital / Lafayette Home Hospital LaPorte Hospital Inc. Lutheran Hospital of Indiana / Otis R. Bowen Center / Columbus Regional Hospital / Morgan County Memorial Hospital Perry County Memorial Hospital / Johnson Memorial Hospital / Memorial Hospital of South Bend / Regional Medical Center / Tipton County Memorial Hospital / St. John's Health System St. Joseph Hospital St. Joseph Hospital / St. Joseph Medical Center / Regional Hospital Community Hospital / Pulaski Memorial Hospital / Riverview Hospital / /
Person
Mercy Healthcare / /
Position
King / /
ProvinceOrState
Jay County / Putnam County / Scott County / Clark County / Sullivan County / Indiana / Adams County / Washington County / Inc Washington County / Greene County / Blackford County / Henry County / Morgan County / Indianapolis Tipton County / Perry County / Daviess County / Seymour Morgan County / Harrison County / Dearborn County / White County / Southlake Morgan County / Decatur County / Jasper County / Whitley County / Tipton County / Wabash County / /
Disproportionate Share (DSH) and Medicaid Add-on Payment History[removed]Medicaid Number Provider