Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC

NPI: 1013953983 · BLOOMINGTON, IN 47408 · Emergency Medicine Physician · NPI assigned 06/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$69.64M
Total Medicaid Paid
1,422,165
Total Claims
1,191,166
Beneficiaries
299
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCRAIG, MICHAEL (CFO)
Parent OrganizationINDIANA UNIVERSITY HEALTH BLOOMINGTON INC
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: CRAIG, MICHAEL

ProviderCityStateTotal Paid
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC BLOOMINGTON IN $28.69M
INDIANA UNIVERSITY HEALTH ARNETT INC LAFAYETTE IN $26.01M
SOUTHERN INDIANA PEDIATRICS, LLC BLOOMINGTON IN $10.70M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 179,010 $11.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 264,273 229,482 $16.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 188,452 162,189 $14.96M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 78,720 70,962 $8.67M
99284 Emergency department visit for the evaluation and management, high severity 70,043 63,934 $6.02M
99283 Emergency department visit for the evaluation and management, moderate severity 60,631 55,567 $3.19M
59426 21,302 13,701 $1.88M
99233 Prolong inpt eval add15 m 29,980 13,996 $1.51M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17,604 15,187 $1.44M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,419 15,654 $1.43M
99232 Subsequent hospital care, per day, moderate complexity 31,459 11,694 $1.06M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16,735 15,207 $982K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,793 10,153 $926K
99223 Prolong inpt eval add15 m 9,998 8,794 $877K
99215 Prolong outpt/office vis 8,927 7,468 $770K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45,659 41,902 $760K
59425 9,527 7,359 $692K
90472 Immunization administration, each additional vaccine (list separately) 26,872 24,879 $674K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13,168 12,128 $600K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,425 5,811 $544K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 91,294 73,120 $525K
90834 Psychotherapy, 45 minutes with patient 8,243 5,296 $458K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,515 4,179 $393K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,155 1,939 $386K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,299 8,476 $311K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,646 3,718 $283K
99239 Hospital discharge day management, more than 30 minutes 5,155 4,532 $265K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,236 1,132 $252K
96110 Developmental screening, with scoring and documentation, per standardized instrument 33,610 31,531 $217K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 793 696 $213K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,092 936 $157K
11721 14,359 12,653 $146K
87428 4,838 4,454 $138K
20610 3,508 2,769 $122K
59025 Fetal non-stress test 3,111 1,896 $85K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,059 1,487 $73K
36415 Collection of venous blood by venipuncture 36,832 30,674 $70K
90792 Psychiatric diagnostic evaluation with medical services 530 481 $70K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,506 929 $67K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,319 4,865 $66K
96127 13,882 12,250 $61K
90791 Psychiatric diagnostic evaluation 605 539 $60K
81003 41,143 29,746 $55K
92557 2,808 2,593 $54K
11056 3,053 2,716 $53K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,100 894 $52K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,187 912 $51K
99205 Prolong outpt/office vis 579 500 $49K
99308 Subsequent nursing facility care, per day, straightforward 5,719 4,461 $48K
99222 Initial hospital care, per day, moderate complexity 1,063 859 $47K
90686 13,640 12,449 $43K
90837 Psychotherapy, 53 minutes with patient 418 311 $42K
99220 465 414 $35K
73630 1,922 1,588 $33K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,262 1,030 $32K
99238 Hospital discharge day management, 30 minutes or less 1,020 916 $31K
90474 1,832 1,678 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,069 942 $27K
95810 Polysomnography; sleep staging with 4 or more additional parameters 254 235 $27K
92567 4,475 4,109 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,135 993 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,316 1,169 $25K
90961 886 804 $23K
36416 7,180 6,767 $22K
95115 3,471 1,648 $21K
90671 1,388 1,228 $21K
73110 1,019 826 $20K
76770 330 302 $20K
92551 2,841 2,687 $19K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 208 185 $18K
90847 Family psychotherapy with the patient present, 50 minutes 319 284 $17K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,270 3,722 $17K
83036 Hemoglobin; glycosylated (A1C) 5,327 4,295 $16K
99479 Subsequent intensive care, per day, very low birth weight infant 121 38 $16K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 74 24 $16K
20611 385 309 $16K
95251 515 466 $14K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 117 113 $14K
99307 2,212 1,758 $13K
99480 Subsequent intensive care, per day, low birth weight infant 106 37 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,760 2,094 $12K
73030 572 496 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 451 367 $11K
99152 1,345 1,147 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 412 382 $10K
96161 4,795 3,946 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 741 535 $10K
77427 80 38 $10K
59430 239 204 $10K
93295 450 417 $9K
95886 107 100 $9K
70486 88 85 $9K
94060 788 705 $9K
73610 440 375 $9K
11750 96 61 $9K
99217 484 425 $9K
94726 700 612 $8K
99221 268 223 $8K
94729 749 654 $8K
G9997 Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter 224 121 $8K
73564 355 321 $8K
93296 975 887 $7K
90473 400 367 $7K
51798 1,541 1,251 $7K
71046 Radiologic examination, chest; 2 views 681 624 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 82 75 $6K
80061 Lipid panel 2,758 2,019 $6K
95819 80 68 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 347 311 $6K
80053 Comprehensive metabolic panel 3,942 2,551 $6K
80050 General health panel 388 291 $6K
97802 34 34 $6K
90832 Psychotherapy, 30 minutes with patient 111 87 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,956 3,097 $6K
90853 Group psychotherapy (other than of a multiple-family group) 275 106 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 51 38 $5K
52000 41 38 $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 181 69 $5K
42820 Tonsillectomy and adenoidectomy; younger than age 12 16 14 $5K
73130 252 206 $5K
90677 1,325 1,232 $5K
99173 2,962 2,792 $4K
77014 107 12 $4K
99226 104 77 $4K
92552 245 221 $4K
99354 174 141 $4K
99225 168 107 $4K
99385 419 366 $4K
95806 58 52 $3K
99417 Prolong home eval add 15m 157 135 $3K
90656 1,145 1,110 $3K
93016 359 332 $3K
0071A 98 89 $3K
73140 159 135 $3K
73502 104 88 $3K
84443 Thyroid stimulating hormone (TSH) 2,051 1,407 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 118 51 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 696 480 $3K
77080 220 202 $3K
95816 26 26 $3K
99460 32 29 $3K
43235 29 24 $2K
90670 7,309 6,842 $2K
92579 70 66 $2K
29075 47 42 $2K
90962 74 72 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 242 196 $2K
93000 618 567 $2K
96112 13 13 $2K
99442 237 195 $2K
93018 436 388 $2K
76830 Ultrasound, transvaginal 359 331 $2K
93294 140 122 $2K
0072A 42 42 $2K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 67 64 $1K
83655 141 129 $1K
99305 31 31 $1K
93297 145 126 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 44 41 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 148 132 $1K
82607 499 350 $1K
93971 55 51 $1K
97161 39 37 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 44 30 $1K
90715 559 500 $1K
72110 19 18 $1K
77334 18 12 $1K
73562 37 36 $1K
74019 50 41 $1K
95811 14 13 $992.83
80048 Basic metabolic panel (calcium, ionized) 1,395 920 $855.95
76942 39 27 $848.57
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 33 26 $827.00
95885 22 12 $819.80
90651 343 324 $818.20
97165 17 13 $805.74
J1040 Injection, methylprednisolone acetate, 80 mg 82 73 $747.63
82728 476 331 $702.56
77300 13 12 $695.86
84439 484 355 $676.76
99441 134 102 $653.68
92556 21 18 $624.96
99443 46 40 $600.34
81025 826 687 $576.62
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 120 91 $552.73
81001 884 614 $536.60
11055 55 51 $515.57
94010 15 14 $510.01
83735 641 350 $470.82
73080 17 13 $459.14
93282 20 15 $458.65
90785 70 58 $453.33
98926 16 12 $451.53
99386 195 168 $451.16
93290 45 37 $429.54
12001 203 165 $426.82
82043 329 222 $408.84
82570 455 302 $405.30
95908 17 13 $402.63
83550 339 233 $387.29
82550 426 267 $366.81
17250 23 12 $364.91
90732 43 37 $359.06
93320 200 166 $356.04
87807 33 32 $355.81
99188 46 45 $342.38
93970 12 12 $340.90
83540 362 251 $308.84
99201 12 12 $284.23
92555 13 12 $276.87
93280 13 12 $276.47
83615 292 165 $270.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 764 606 $262.78
90480 215 185 $257.90
83880 26 12 $242.66
74420 14 13 $242.46
G0127 Trimming of dystrophic nails, any number 121 113 $233.57
80076 161 104 $229.45
93227 58 54 $206.88
90935 Hemodialysis procedure with single evaluation by a physician 23 12 $204.36
99406 159 146 $191.21
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 19 12 $191.00
84403 159 126 $180.27
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 83 71 $173.96
83970 22 13 $173.43
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 17 13 $166.22
82670 122 103 $165.78
99153 Mod sedat endo service >5yrs 41 39 $163.69
74018 15 13 $150.85
96375 Therapeutic injection; each additional sequential IV push 21 12 $147.44
90662 14 12 $146.80
86140 217 144 $146.63
88720 48 39 $105.63
85651 171 110 $104.64
83001 131 108 $101.47
93350 100 90 $95.89
90723 5,519 5,077 $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) 920 756 $90.48
94760 449 319 $81.61
99219 28 27 $78.61
84481 18 12 $75.27
95024 16 16 $72.63
93325 206 171 $63.31
12011 17 14 $61.64
90660 43 42 $51.88
58300 90 77 $50.59
84100 86 51 $48.27
90672 510 471 $48.20
G0103 Prostate cancer screening; prostate specific antigen test (psa) 61 29 $45.42
81002 90 74 $40.48
J1030 Injection, methylprednisolone acetate, 40 mg 100 83 $33.31
90647 5,193 4,777 $29.52
83986 13 12 $28.87
99051 10,611 8,428 $27.67
82150 31 13 $23.39
96146 26 16 $20.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 359 258 $12.85
84460 21 12 $9.18
J1885 Injection, ketorolac tromethamine, per 15 mg 129 109 $3.27
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 32 28 $1.63
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 10,034 8,433 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 3,345 2,794 $0.00
99024 1,521 1,279 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 31 28 $0.00
90697 1,388 1,237 $0.00
91307 412 388 $0.00
G9530 Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider 210 177 $0.00
G0008 Administration of influenza virus vaccine 322 261 $0.00
G9529 Patient with minor blunt head trauma had an appropriate indication(s) for a head ct 75 70 $0.00
90696 90 88 $0.00
90619 104 100 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 18 12 $0.00
59514 35 27 $0.00
84144 67 55 $0.00
90632 17 14 $0.00
93351 30 26 $0.00
90716 38 38 $0.00
58301 12 12 $0.00
86580 13 12 $0.00
83690 13 12 $0.00
12002 13 12 $0.00
91318 14 12 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 5,371 4,560 $0.00
90633 1,984 1,915 $0.00
90681 2,215 1,996 $0.00
G8785 Blood pressure reading not documented, reason not given 1,991 1,751 $0.00
90710 119 116 $0.00
90734 303 281 $0.00
90700 39 39 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 2,629 2,199 $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 12 12 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 27 27 $0.00
91308 77 42 $0.00
99071 15 15 $0.00
90707 39 39 $0.00
31575 32 25 $0.00
10060 18 17 $0.00
80306 18 13 $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 34 13 $0.00
91300 13 13 $0.00