Physician
Anthony Medical Associates P C
Anthony Medical Associates P C was paid $3.93M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoANTHONY MEDICAL ASSOCIATES P C
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
33aNPI1003892555assigned 12/16/2005
33bProvider typeFamily Medicine Physician
28Total paid$3.93M
24GClaims98,645
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#16 of 408
Median peer was paid$81K
This provider vs. median48×
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 | 16,307 | $303K | |
| 2019 | 14,059 | $497K | |
| 2020 | 11,152 | $403K | |
| 2021 | 14,620 | $543K | |
| 2022 | 15,714 | $758K | |
| 2023 | 13,877 | $777K | |
| 2024incomplete | 12,916 | $647K |
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 | 71% | 57,795 | 46,756 | $2.81M |
| 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 | 18% | 11,657 | 9,932 | $690K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.7% | 1,642 | 1,524 | $145K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 3,896 | 2,974 | $103K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 616 | 572 | $54K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,658 | 2,402 | $27K |
| 95251 | <1% | 905 | 722 | $18K | |
| 99397 | <1% | 166 | 145 | $13K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 291 | 251 | $11K |
| 90756 | <1% | 557 | 503 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 87 | 83 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 903 | 812 | $6K |
36 more codes
| 20610 | <1% | 189 | $6K | |
| 82947 | <1% | 2,137 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $4K |
| 90674 | <1% | 391 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 44 | $3K |
| 81003 | <1% | 1,718 | $3K | |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | <1% | 1,175 | $2K |
| 99385 | <1% | 13 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 872 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 156 | $1K |
| 90688 | <1% | 65 | $1K | |
| 95250 | <1% | 13 | $804.34 | |
| 90658 | <1% | 28 | $435.78 | |
| 80061 | Lipid panel | <1% | 45 | $388.31 |
| 90686 | <1% | 16 | $313.47 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 561 | $284.12 |
| 82044 | <1% | 150 | $141.29 | |
| 82570 | <1% | 150 | $134.10 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 305 | $60.06 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 859 | $51.97 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 464 | $49.76 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 460 | $49.76 |
| 99490 | Ccm add 20min | <1% | 804 | $18.68 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 60 | $16.71 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 1,066 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 455 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 498 | $0.00 |
| 3075F | 0% | 101 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 462 | $0.00 |
| 3079F | 0% | 242 | $0.00 | |
| 3074F | 0% | 395 | $0.00 | |
| 3080F | 0% | 25 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,177 | $0.00 |
| 3078F | 0% | 264 | $0.00 | |
| 3077F | 0% | 41 | $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 officialCOATS, CHARLES (MD OWNER)