Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › SOUTH BEND › THE SOUTH BEND CLINIC LLC

THE SOUTH BEND CLINIC LLC

NPI: 1073680419 · SOUTH BEND, IN 46617 · 261QA1903X

$19.31M
Total Medicaid Paid
657,751
Total Claims
529,633
Beneficiaries
242
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69,948 $1.05M
2019 69,533 $1.73M
2020 79,341 $1.74M
2021 113,409 $3.39M
2022 114,224 $4.12M
2023 97,155 $3.38M
2024 114,141 $3.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 110,300 84,654 $6.94M
99213 95,167 77,074 $5.06M
99392 9,419 8,159 $909K
99391 7,919 6,684 $698K
99204 5,581 4,570 $473K
90471 33,241 28,981 $429K
99393 4,348 3,735 $422K
90472 17,305 14,910 $399K
99203 5,994 4,766 $299K
80050 6,497 5,796 $257K
59426 3,085 2,049 $251K
87428 7,011 5,890 $237K
95004 2,349 1,883 $197K
59425 2,804 2,213 $180K
87801 3,284 2,724 $135K
36415 49,462 40,807 $116K
90791 1,296 1,114 $111K
87426 4,038 3,541 $108K
66984 317 162 $102K
82306 5,222 4,325 $79K
80061 11,325 9,615 $78K
84443 11,719 9,937 $77K
99212 2,613 2,287 $77K
93306 1,086 765 $75K
85025 18,961 16,126 $74K
99394 769 662 $73K
87880 4,544 3,781 $64K
92004 917 577 $60K
77067 878 726 $57K
V2103 Spherocylindr 4.00d/12-2.00d 1,512 996 $56K
80053 13,718 11,492 $55K
90832 1,344 1,041 $50K
83036 10,097 8,574 $47K
11721 5,160 3,477 $44K
V2020 Vision svcs frames purchases 1,993 1,301 $43K
95117 6,019 3,628 $43K
92015 4,747 2,910 $42K
87389 2,420 2,181 $42K
99309 3,653 2,141 $35K
87651 1,243 1,018 $35K
99205 Prolong outpt/office vis 240 202 $30K
93000 5,727 3,794 $29K
76817 408 286 $28K
99308 4,259 2,132 $28K
11042 1,400 494 $27K
84439 4,884 4,194 $25K
87088 4,749 3,811 $24K
71046 2,503 1,589 $23K
99215 Prolong outpt/office vis 347 258 $23K
77063 716 595 $22K
82607 2,496 2,108 $21K
92014 295 187 $18K
90474 1,270 1,162 $17K
80048 4,855 4,000 $16K
87081 2,719 2,291 $15K
84481 1,422 1,216 $14K
92567 2,763 2,223 $13K
81001 6,661 5,684 $13K
69436 34 12 $12K
82728 1,324 1,137 $12K
87186 1,814 1,477 $11K
85027 2,256 2,006 $10K
90686 8,438 8,135 $10K
76805 99 80 $9K
95115 1,278 739 $9K
83550 1,756 1,476 $9K
86592 2,818 2,574 $9K
87804 704 313 $8K
84702 774 505 $8K
95165 51 46 $7K
83735 2,282 1,850 $7K
86762 731 666 $7K
83540 1,789 1,505 $7K
82570 2,910 2,388 $7K
84703 1,116 997 $7K
99202 424 379 $7K
82043 2,599 2,164 $7K
76816 84 73 $7K
92557 454 358 $6K
96365 193 108 $6K
99304 316 193 $6K
90792 78 68 $6K
80081 68 65 $6K
86140 1,595 1,350 $5K
72148 71 46 $5K
94060 176 138 $5K
74177 43 30 $5K
81002 2,278 1,442 $5K
76642 86 62 $5K
90473 402 323 $5K
83655 334 279 $5K
90670 3,199 3,085 $4K
84153 432 363 $4K
87070 721 604 $4K
73721 37 25 $4K
84403 231 198 $4K
81000 2,342 1,759 $4K
95886 32 24 $4K
78452 33 15 $4K
82950 925 860 $3K
85610 1,266 941 $3K
76819 52 38 $3K
0071A 167 85 $3K
88305 172 120 $3K
99459 181 125 $3K
36416 779 684 $3K
87077 513 472 $3K
99395 301 288 $3K
73630 264 183 $3K
95251 223 156 $3K
Q9967 Locm 300-399mg/ml iodine,1ml 487 327 $3K
99318 170 103 $3K
96110 257 180 $3K
J1050 Medroxyprogesterone acetate 215 160 $3K
85651 1,139 1,003 $3K
80076 789 639 $2K
76856 54 44 $2K
95810 12 12 $2K
97802 29 26 $2K
87340 397 355 $2K
73562 103 88 $2K
99443 225 77 $2K
70486 20 12 $2K
G0483 Drug test def 22+ classes 144 138 $2K
85652 1,000 827 $2K
17110 39 25 $2K
93356 129 94 $2K
80074 65 64 $2K
76815 40 24 $2K
0072A 87 44 $2K
99396 231 222 $2K
90837 23 14 $2K
90674 937 663 $2K
73560 151 73 $1K
99306 Prolong nursin fac eval 15m 69 47 $1K
51798 420 250 $1K
99442 127 33 $1K
76830 14 13 $1K
86803 139 128 $1K
95249 56 46 $1K
83001 92 88 $1K
76536 21 16 $1K
99211 63 41 $1K
96372 614 460 $1K
86850 272 250 $1K
90680 1,294 1,255 $1K
99381 14 12 $997.99
99177 286 195 $993.76
99385 59 51 $935.19
87653 27 25 $925.32
73130 42 28 $918.77
90723 1,889 1,806 $912.53
97110 31 12 $889.32
96127 209 171 $848.86
97161 12 12 $829.93
73030 72 39 $769.62
73564 44 29 $753.25
90834 13 12 $747.92
90661 157 144 $717.57
94727 32 28 $712.58
97803 15 13 $702.42
84146 45 44 $696.09
11102 15 12 $683.09
85730 156 132 $670.85
31575 26 13 $665.01
85018 244 217 $641.39
93015 35 16 $637.39
73502 38 25 $633.73
94729 17 16 $629.40
95806 16 15 $580.22
82565 320 294 $525.91
99383 14 14 $480.00
90715 47 44 $454.94
82746 53 43 $437.98
86901 287 266 $415.07
82044 124 113 $407.71
83525 75 69 $382.43
90688 385 375 $370.79
59025 22 14 $350.61
17000 13 12 $340.02
90647 1,625 1,544 $334.58
84550 109 94 $311.78
86701 42 40 $298.07
84156 129 100 $287.39
83970 17 16 $275.36
0064A 26 17 $260.47
86900 178 162 $249.28
82550 84 75 $248.70
73610 14 12 $219.44
92551 782 654 $214.25
87210 139 121 $203.70
86235 14 13 $197.66
74018 24 13 $181.98
3044F 309 236 $180.00
J2785 Regadenoson injection 28 12 $146.37
90633 642 607 $139.96
81025 69 66 $121.09
J7050 Normal saline solution infus 379 175 $92.69
80069 15 15 $79.83
83690 14 13 $74.27
11100 118 116 $71.64
99173 652 575 $55.09
82951 13 13 $54.05
82248 17 13 $50.20
99401 15 12 $37.60
82310 16 13 $36.68
A9585 Gadobutrol injection 164 109 $24.83
82952 12 12 $16.46
G2211 Complex e/m visit add on 47 31 $3.12
90672 253 237 $0.23
90648 403 362 $0.11
3078F 2,800 2,411 $0.00
1160F 162 88 $0.00
1159F 162 88 $0.00
99051 73 71 $0.00
90734 37 36 $0.00
J3301 Triamcinolone acet inj nos 136 123 $0.00
G8907 Pt doc no events on discharg 123 115 $0.00
G0438 Ppps, initial visit 44 44 $0.00
90700 16 13 $0.00
3077F 32 25 $0.00
90707 24 24 $0.00
99307 124 12 $0.00
3008F 24,720 19,178 $0.00
90677 483 372 $0.00
3074F 5,959 4,959 $0.00
1036F 20,717 15,864 $0.00
G0108 Diab manage trn per indiv 149 100 $0.00
3079F 1,303 1,012 $0.00
4010F 800 529 $0.00
G0439 Ppps, subseq visit 81 78 $0.00
90716 36 36 $0.00
99024 37 35 $0.00
90651 41 39 $0.00
3075F 63 55 $0.00
91307 48 46 $0.00
99402 67 59 $0.00
1170F 33 33 $0.00
3080F 14 13 $0.00
G0008 Admin influenza virus vac 13 13 $0.00
1125F 16 13 $0.00
91301 15 12 $0.00