Physician
Neurology Specialists, PC
Neurology Specialists, PC was paid $471K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoNEUROLOGY SPECIALISTS, PC
BLOOMINGTON, IN 47403
BLOOMINGTON, IN 47403
33aNPI1194865642assigned 02/07/2007
33bProvider typeNeurology Physician
28Total paid$471K
24GClaims11,899
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Indiana
Rank by total paid#14 of 46
Median peer was paid$99K
This provider vs. median4.8×
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 | 1,612 | $30K | |
| 2019 | 1,830 | $73K | |
| 2020 | 1,173 | $52K | |
| 2021 | 1,405 | $62K | |
| 2022 | 1,876 | $87K | |
| 2023 | 2,029 | $80K | |
| 2024incomplete | 1,974 | $87K |
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 | 68% | 7,530 | 6,745 | $321K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 20% | 3,099 | 2,691 | $94K |
| 95886 | 9.0% | 485 | 443 | $42K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 338 | 300 | $10K |
| 99205 | Prolong outpt/office vis | <1% | 83 | 82 | $4K |
| 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% | 364 | 312 | $83.70 |
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 officialBALES, JAMIE (PRESIDENT)