Rising Sun Medical Center INC

Rising Sun Medical Center INC was paid $330K by Medicaid between Jan 2018 and Oct 2020, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoRISING SUN MEDICAL CENTER INC
RISING SUN, IN 47040

33aNPI1124072137assigned 05/22/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$330K

24GClaims9,083

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Indiana

Rank by total paid#13 of 148

Median peer was paid$20K

This provider vs. median17×

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	3,453	$84K
2019	3,526	$145K
2020	2,104	$101K

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	57%	5,087	4,052	$188K
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	41%	3,141	2,535	$136K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	175	146	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	167	148	$2K
90686		<1%	167	149	$1K
80305		<1%	181	140	$767.72
83036	Hemoglobin; glycosylated (A1C)	<1%	33	27	$126.33
36415	Collection of venous blood by venipuncture	<1%	44	38	$91.53
90688		<1%	22	19	$69.76
G0008	Administration of influenza virus vaccine	0%	48	39	$0.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	0%	18	12	$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 officialFULLER, TOM (PRESIDENT)