Physician
Goshen Health System INC
Goshen Health System INC was paid $11.96M by Medicaid between Jan 2018 and Nov 2024, across 153 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoGOSHEN HEALTH SYSTEM INC
GOSHEN, IN 46526
GOSHEN, IN 46526
33aNPI1194772293assigned 05/27/2006
33bProvider typeInternal Medicine Physician
28Total paid$11.96M
24GClaims299,988
24DCodes billed153
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#11 of 316
Median peer was paid$17K
This provider vs. median707×
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 | 37,100 | $663K | |
| 2019 | 35,619 | $1.37M | |
| 2020 | 30,012 | $1.14M | |
| 2021 | 40,673 | $1.80M | |
| 2022 | 46,356 | $2.07M | |
| 2023 | 54,740 | $2.38M | |
| 2024incomplete | 55,488 | $2.54M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 84,040 | 70,500 | $5.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 75,879 | 64,962 | $3.61M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 7,284 | 6,049 | $533K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 4,645 | 4,199 | $359K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 6,125 | 5,408 | $230K |
| 59425 | 1.9% | 4,241 | 3,332 | $222K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 9,883 | 8,661 | $200K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 2,327 | 2,017 | $194K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 15,793 | 14,042 | $168K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 2,746 | 2,379 | $139K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 4,493 | 3,864 | $101K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,651 | 1,439 | $99K |
141 more codes
| 97803 | <1% | 2,504 | $80K | |
| 59426 | <1% | 1,393 | $70K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 910 | $69K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 888 | $67K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,345 | $58K |
| 87428 | <1% | 1,898 | $47K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,622 | $41K |
| 99460 | <1% | 666 | $32K | |
| 81002 | <1% | 11,236 | $28K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 380 | $27K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 414 | $26K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 603 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,740 | $20K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,269 | $18K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 563 | $17K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 278 | $17K |
| 90473 | <1% | 1,303 | $16K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,836 | $14K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 240 | $13K |
| 99307 | <1% | 3,296 | $13K | |
| 59430 | <1% | 190 | $12K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 374 | $11K |
| 95251 | <1% | 546 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 952 | $9K |
| 73110 | <1% | 275 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 747 | $7K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 296 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,607 | $7K |
| 87634 | <1% | 167 | $6K | |
| 0002A | <1% | 223 | $6K | |
| 73630 | <1% | 253 | $5K | |
| 93016 | <1% | 496 | $4K | |
| 96127 | <1% | 1,320 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 115 | $4K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 28 | $4K |
| 0001A | <1% | 152 | $4K | |
| 20610 | <1% | 132 | $4K | |
| 81003 | <1% | 2,157 | $3K | |
| 94726 | <1% | 507 | $3K | |
| 76376 | <1% | 886 | $3K | |
| 95806 | <1% | 99 | $3K | |
| 93296 | <1% | 532 | $3K | |
| 93018 | <1% | 488 | $3K | |
| 83655 | <1% | 382 | $3K | |
| 92557 | <1% | 114 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 92 | $3K |
| 92567 | <1% | 299 | $3K | |
| 29125 | <1% | 54 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 112 | $3K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 16 | $3K |
| 90686 | <1% | 3,791 | $2K | |
| 97804 | <1% | 92 | $2K | |
| 73130 | <1% | 113 | $2K | |
| 99384 | <1% | 27 | $2K | |
| 90682 | <1% | 127 | $2K | |
| 99462 | <1% | 92 | $2K | |
| 85610 | <1% | 1,366 | $2K | |
| 99383 | <1% | 24 | $2K | |
| 73140 | <1% | 83 | $2K | |
| 94729 | <1% | 413 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 484 | $2K |
| 93356 | <1% | 205 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 583 | $1K |
| 0003A | <1% | 79 | $1K | |
| 93000 | <1% | 178 | $1K | |
| 99381 | <1% | 12 | $1K | |
| 96161 | <1% | 632 | $643.45 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $609.59 |
| 93295 | <1% | 30 | $576.65 | |
| 90670 | <1% | 2,429 | $564.78 | |
| 92579 | <1% | 14 | $561.34 | |
| 94060 | <1% | 94 | $541.28 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 72 | $506.36 |
| 99459 | <1% | 40 | $491.91 | |
| 93294 | <1% | 56 | $485.32 | |
| 99201 | <1% | 20 | $474.71 | |
| 85018 | <1% | 442 | $453.37 | |
| 80305 | <1% | 49 | $434.70 | |
| 72100 | <1% | 12 | $394.68 | |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $389.20 |
| 0071A | <1% | 12 | $372.10 | |
| 73030 | <1% | 20 | $305.60 | |
| 90698 | <1% | 1,328 | $291.03 | |
| Q4022 | Cast supplies, short arm splint, adult (11 years +), fiberglass | <1% | 34 | $277.67 |
| 90677 | <1% | 1,036 | $265.87 | |
| 81000 | <1% | 92 | $247.29 | |
| 81025 | <1% | 351 | $243.50 | |
| 99152 | <1% | 39 | $206.61 | |
| 11721 | <1% | 27 | $196.00 | |
| 90474 | <1% | 16 | $195.00 | |
| 92551 | <1% | 29 | $170.46 | |
| 99441 | <1% | 34 | $160.76 | |
| 93280 | <1% | 24 | $150.33 | |
| 88720 | <1% | 63 | $129.68 | |
| 99173 | <1% | 209 | $102.07 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 421 | $72.12 |
| 94010 | <1% | 17 | $69.70 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 14 | $62.49 |
| 90715 | <1% | 107 | $61.90 | |
| 90656 | <1% | 137 | $39.86 | |
| 99174 | <1% | 25 | $20.48 | |
| 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% | 1,221 | $17.59 |
| 80061 | Lipid panel | <1% | 43 | $6.02 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $3.65 |
| 90680 | 0% | 1,405 | $0.00 | |
| 3074F | 0% | 213 | $0.00 | |
| 90744 | 0% | 230 | $0.00 | |
| 1125F | 0% | 174 | $0.00 | |
| 1126F | 0% | 295 | $0.00 | |
| 90697 | 0% | 1,102 | $0.00 | |
| 3008F | 0% | 701 | $0.00 | |
| 99304 | 0% | 13 | $0.00 | |
| 90688 | 0% | 28 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 1036F | 0% | 148 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 0501F | 0% | 15 | $0.00 | |
| 90651 | 0% | 56 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 56 | $0.00 |
| 91307 | 0% | 47 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 3351F | 0% | 13 | $0.00 | |
| 1159F | 0% | 1,729 | $0.00 | |
| 91300 | 0% | 174 | $0.00 | |
| 0502F | 0% | 1,204 | $0.00 | |
| 90633 | 0% | 597 | $0.00 | |
| 1160F | 0% | 2,149 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 168 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 431 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 56 | $0.00 |
| 90710 | 0% | 189 | $0.00 | |
| 99051 | 0% | 294 | $0.00 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 13 | $0.00 |
| 90621 | 0% | 57 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 98 | $0.00 |
| 3078F | 0% | 179 | $0.00 | |
| 90734 | 0% | 32 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 31 | $0.00 |
| 90685 | 0% | 12 | $0.00 | |
| 99078 | 0% | 26 | $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 officialYODER, JONATHAN (VICE PRESIDENT)