Indiana University Health Southern Indiana Physicians, LLC

Indiana University Health Southern Indiana Physicians, LLC was paid $69.64M by Medicaid between Jan 2018 and Dec 2024, across 299 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoINDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC
BLOOMINGTON, IN 47408

33aNPI1013953983assigned 06/21/2006

33bProvider typeEmergency Medicine Physician

28Total paid$69.64M

24GClaims1,422,165

24DCodes billed299

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Indiana

Rank by total paid#1 of 191

Median peer was paid$126K

This provider vs. median552×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CRAIG, MICHAEL controls 15+ related entities in our dataset. Read more

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	196,145	$1.64M
2019	122,760	$5.41M
2020	105,114	$5.31M
2021	259,269	$12.87M
2022	275,226	$15.52M
2023	284,641	$17.18M
2024incomplete	179,010	$11.72M

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	24%	264,273	229,482	$16.70M
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	21%	188,452	162,189	$14.96M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	12%	78,720	70,962	$8.67M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	8.6%	70,043	63,934	$6.02M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.6%	60,631	55,567	$3.19M
59426		2.7%	21,302	13,701	$1.88M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.2%	29,980	13,996	$1.51M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.1%	17,604	15,187	$1.44M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.0%	16,419	15,654	$1.43M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.5%	31,459	11,694	$1.06M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.4%	16,735	15,207	$982K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.3%	10,793	10,153	$926K

287 more codes

99223	Prolong inpt eval add15 m	1.3%	9,998	$877K
99215	Doctor's office visit, returning patient (complex)	1.1%	8,927	$770K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	45,659	$760K
59425		<1%	9,527	$692K
90472	Immunization administration, each additional vaccine (list separately)	<1%	26,872	$674K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	13,168	$600K
99204	Doctor's office visit, new patient (more involved)	<1%	6,425	$544K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	91,294	$525K
90834	Psychotherapy session, about 45 minutes	<1%	8,243	$458K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	4,515	$393K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	2,155	$386K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	9,299	$311K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	7,646	$283K
99239	Hospital discharge day management, more than 30 minutes	<1%	5,155	$265K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	2,236	$252K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	33,610	$217K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	793	$213K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	1,092	$157K
11721		<1%	14,359	$146K
87428		<1%	4,838	$138K
20610		<1%	3,508	$122K
59025	Fetal non-stress test	<1%	3,111	$85K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	4,059	$73K
36415	Collection of venous blood by venipuncture	<1%	36,832	$70K
90792	Psychiatric diagnostic evaluation with medical services	<1%	530	$70K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	1,506	$67K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	5,319	$66K
96127		<1%	13,882	$61K
90791	Psychiatric diagnostic evaluation	<1%	605	$60K
81003		<1%	41,143	$55K
92557		<1%	2,808	$54K
11056		<1%	3,053	$53K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	<1%	1,100	$52K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	1,187	$51K
99205	Prolong outpt/office vis	<1%	579	$49K
99308	Subsequent nursing facility care, per day, straightforward	<1%	5,719	$48K
99222	Initial hospital care, per day, moderate complexity	<1%	1,063	$47K
90686		<1%	13,640	$43K
90837	Psychotherapy session, about an hour	<1%	418	$42K
99220		<1%	465	$35K
73630		<1%	1,922	$33K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	1,262	$32K
99238	Hospital discharge day management, 30 minutes or less	<1%	1,020	$31K
90474		<1%	1,832	$27K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	1,069	$27K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	254	$27K
92567		<1%	4,475	$26K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	1,135	$25K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	1,316	$25K
90961		<1%	886	$23K
36416		<1%	7,180	$22K
95115		<1%	3,471	$21K
90671		<1%	1,388	$21K
73110		<1%	1,019	$20K
76770		<1%	330	$20K
92551		<1%	2,841	$19K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	<1%	208	$18K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	319	$17K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	4,270	$17K
83036	Hemoglobin; glycosylated (A1C)	<1%	5,327	$16K
99479	Subsequent intensive care, per day, very low birth weight infant	<1%	121	$16K
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	<1%	74	$16K
20611		<1%	385	$16K
95251		<1%	515	$14K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	117	$14K
99307		<1%	2,212	$13K
99480	Subsequent intensive care, per day, low birth weight infant	<1%	106	$12K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	2,760	$12K
73030		<1%	572	$11K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	451	$11K
99152		<1%	1,345	$11K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	412	$10K
96161		<1%	4,795	$10K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	741	$10K
77427		<1%	80	$10K
59430		<1%	239	$10K
93295		<1%	450	$9K
95886		<1%	107	$9K
70486		<1%	88	$9K
94060		<1%	788	$9K
73610		<1%	440	$9K
11750		<1%	96	$9K
99217		<1%	484	$9K
94726		<1%	700	$8K
99221		<1%	268	$8K
94729		<1%	749	$8K
G9997	Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter	<1%	224	$8K
73564		<1%	355	$8K
93296		<1%	975	$7K
90473		<1%	400	$7K
51798		<1%	1,541	$7K
71046	Radiologic examination, chest; 2 views	<1%	681	$7K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	82	$6K
80061	Lipid panel	<1%	2,758	$6K
95819		<1%	80	$6K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	347	$6K
80053	Comprehensive metabolic panel	<1%	3,942	$6K
80050	General health panel	<1%	388	$6K
97802		<1%	34	$6K
90832	Psychotherapy session, about 30 minutes	<1%	111	$6K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	4,956	$6K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	275	$5K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	51	$5K
52000		<1%	41	$5K
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	<1%	181	$5K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	16	$5K
73130		<1%	252	$5K
90677		<1%	1,325	$5K
99173		<1%	2,962	$4K
77014		<1%	107	$4K
99226		<1%	104	$4K
92552		<1%	245	$4K
99354		<1%	174	$4K
99225		<1%	168	$4K
99385		<1%	419	$4K
95806		<1%	58	$3K
99417	Prolong home eval add 15m	<1%	157	$3K
90656		<1%	1,145	$3K
93016		<1%	359	$3K
0071A		<1%	98	$3K
73140		<1%	159	$3K
73502		<1%	104	$3K
84443	Thyroid stimulating hormone (TSH)	<1%	2,051	$3K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	118	$3K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	696	$3K
77080		<1%	220	$3K
95816		<1%	26	$3K
99460		<1%	32	$3K
43235		<1%	29	$2K
90670		<1%	7,309	$2K
92579		<1%	70	$2K
29075		<1%	47	$2K
90962		<1%	74	$2K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	242	$2K
93000		<1%	618	$2K
96112		<1%	13	$2K
99442		<1%	237	$2K
93018		<1%	436	$2K
76830	Ultrasound, transvaginal	<1%	359	$2K
93294		<1%	140	$2K
0072A		<1%	42	$2K
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	<1%	67	$1K
83655		<1%	141	$1K
99305		<1%	31	$1K
93297		<1%	145	$1K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	44	$1K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	148	$1K
82607		<1%	499	$1K
93971		<1%	55	$1K
97161		<1%	39	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	44	$1K
90715		<1%	559	$1K
72110		<1%	19	$1K
77334		<1%	18	$1K
73562		<1%	37	$1K
74019		<1%	50	$1K
95811		<1%	14	$992.83
80048	Basic metabolic panel (calcium, ionized)	<1%	1,395	$855.95
76942		<1%	39	$848.57
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	<1%	33	$827.00
95885		<1%	22	$819.80
90651		<1%	343	$818.20
97165		<1%	17	$805.74
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	82	$747.63
82728		<1%	476	$702.56
77300		<1%	13	$695.86
84439		<1%	484	$676.76
99441		<1%	134	$653.68
92556		<1%	21	$624.96
99443		<1%	46	$600.34
81025		<1%	826	$576.62
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	120	$552.73
81001		<1%	884	$536.60
11055		<1%	55	$515.57
94010		<1%	15	$510.01
83735		<1%	641	$470.82
73080		<1%	17	$459.14
93282		<1%	20	$458.65
90785		<1%	70	$453.33
98926		<1%	16	$451.53
99386		<1%	195	$451.16
93290		<1%	45	$429.54
12001		<1%	203	$426.82
82043		<1%	329	$408.84
82570		<1%	455	$405.30
95908		<1%	17	$402.63
83550		<1%	339	$387.29
82550		<1%	426	$366.81
17250		<1%	23	$364.91
90732		<1%	43	$359.06
93320		<1%	200	$356.04
87807		<1%	33	$355.81
99188		<1%	46	$342.38
93970		<1%	12	$340.90
83540		<1%	362	$308.84
99201		<1%	12	$284.23
92555		<1%	13	$276.87
93280		<1%	13	$276.47
83615		<1%	292	$270.59
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	764	$262.78
90480		<1%	215	$257.90
83880		<1%	26	$242.66
74420		<1%	14	$242.46
G0127	Trimming of dystrophic nails, any number	<1%	121	$233.57
80076		<1%	161	$229.45
93227		<1%	58	$206.88
90935	Hemodialysis procedure with single evaluation by a physician	<1%	23	$204.36
99406		<1%	159	$191.21
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	19	$191.00
84403		<1%	159	$180.27
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	83	$173.96
83970		<1%	22	$173.43
Q4010	Cast supplies, short arm cast, adult (11 years +), fiberglass	<1%	17	$166.22
82670		<1%	122	$165.78
99153	Mod sedat endo service >5yrs	<1%	41	$163.69
74018		<1%	15	$150.85
96375	Therapeutic injection; each additional sequential IV push	<1%	21	$147.44
90662		<1%	14	$146.80
86140		<1%	217	$146.63
88720		<1%	48	$105.63
85651		<1%	171	$104.64
83001		<1%	131	$101.47
93350		<1%	100	$95.89
90723		<1%	5,519	$90.61
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	920	$90.48
94760		<1%	449	$81.61
99219		<1%	28	$78.61
84481		<1%	18	$75.27
95024		<1%	16	$72.63
93325		<1%	206	$63.31
12011		<1%	17	$61.64
90660		<1%	43	$51.88
58300		<1%	90	$50.59
84100		<1%	86	$48.27
90672		<1%	510	$48.20
G0103	Prostate cancer screening; prostate specific antigen test (psa)	<1%	61	$45.42
81002		<1%	90	$40.48
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	100	$33.31
90647		<1%	5,193	$29.52
83986		<1%	13	$28.87
99051		<1%	10,611	$27.67
82150		<1%	31	$23.39
96146		<1%	26	$20.12
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	359	$12.85
84460		<1%	21	$9.18
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	129	$3.27
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	32	$1.63
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	10,034	$0.00
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	0%	3,345	$0.00
99024		0%	1,521	$0.00
J0696	Injection, ceftriaxone sodium, per 250 mg	0%	31	$0.00
90697		0%	1,388	$0.00
91307		0%	412	$0.00
G9530	Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider	0%	210	$0.00
G0008	Administration of influenza virus vaccine	0%	322	$0.00
G9529	Patient with minor blunt head trauma had an appropriate indication(s) for a head ct	0%	75	$0.00
90696		0%	90	$0.00
90619		0%	104	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	18	$0.00
59514		0%	35	$0.00
84144		0%	67	$0.00
90632		0%	17	$0.00
93351		0%	30	$0.00
90716		0%	38	$0.00
58301		0%	12	$0.00
86580		0%	13	$0.00
83690		0%	13	$0.00
12002		0%	13	$0.00
91318		0%	14	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	5,371	$0.00
90633		0%	1,984	$0.00
90681		0%	2,215	$0.00
G8785	Blood pressure reading not documented, reason not given	0%	1,991	$0.00
90710		0%	119	$0.00
90734		0%	303	$0.00
90700		0%	39	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	2,629	$0.00
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	0%	12	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	27	$0.00
91308		0%	77	$0.00
99071		0%	15	$0.00
90707		0%	39	$0.00
31575		0%	32	$0.00
10060		0%	18	$0.00
80306		0%	18	$0.00
A5513	For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each	0%	34	$0.00
91300		0%	13	$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 officialCRAIG, MICHAEL (CFO)

Parent organizationINDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Same official

Other billing entities under CRAIG, MICHAEL

Full network →

Provider	Location	Paid
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Indiana University Health Bedford, INC	Bedford, IN	$8.45M
Indiana University Health Paoli INC	Paoli, IN	$4.44M
Indiana University Health Bloomington INC	Bloomington, IN	$1.49M
Indiana University Health Paoli INC	Paoli, IN	$1.10M
Iu Health Bedford Physicians, LLC	Bedford, IN	$1000K
Iu Health Morgan Physicians, LLC	Martinsville, IN	$534K
Wagoner Family Dentistry, PC	Wagoner, OK	$510K
Orthopedics of South Central Indiana LLC	Bloomington, IN	$239K
Ambulance Service of Murfreesboro, LLC	Murfreesboro, TN	$16K
Bloomington Endoscopy Center, LLC	Bloomington, IN	$0.00
Indiana University Health Southern Indiana Physicians, LLC	Bloomington, IN	$0.00
Indiana University Health Southern Indiana Physicians LLC	Bloomington, IN	$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.