Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Regional Hospital Healthcare Partners LLC

Regional Hospital Healthcare Partners LLC was paid $1.55M by Medicaid between Jan 2018 and Nov 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoREGIONAL HOSPITAL HEALTHCARE PARTNERS LLC
TERRE HAUTE, IN 47802
33aNPI1194968958assigned 04/09/2009
33bProvider typeSurgery Physician
28Total paid$1.55M
24GClaims67,566
24DCodes billed69
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Surgery Physician providers in Indiana

Rank by total paid#3 of 48
Median peer was paid$19K
This provider vs. median82×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BERGAMO, SUZANNE controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201825,805$97K
201910,279$236K
20208,264$323K
20217,916$321K
20225,505$223K
20235,631$216K
2024incomplete4,166$131K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 12,780 9,351 $305K
59425 16% 3,105 1,817 $244K
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 16% 7,123 5,267 $242K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 12% 4,117 1,715 $191K
59426 7.9% 1,418 575 $121K
99238 Hospital discharge day management, 30 minutes or less 4.1% 1,582 1,298 $63K
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 3.5% 1,108 853 $55K
99223 Prolong inpt eval add15 m 3.3% 617 404 $52K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.0% 1,069 866 $46K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.3% 1,464 736 $36K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.8% 285 207 $28K
99222 Initial hospital care, per day, moderate complexity 1.5% 277 234 $23K
57 more codes
99233 Hospital visit by a doctor, follow-up day (complex) 1.5% 403 $23K
90792 Psychiatric diagnostic evaluation with medical services 1.4% 194 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.1% 359 $18K
73620 <1% 1,320 $13K
99239 Hospital discharge day management, more than 30 minutes <1% 183 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 521 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 235 $9K
81001 <1% 5,736 $6K
99205 Prolong outpt/office vis <1% 27 $4K
51798 <1% 1,019 $4K
59430 <1% 59 $3K
99221 <1% 33 $2K
95819 <1% 104 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 39 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 20 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 19 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 17 $1K
95886 <1% 17 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 69 $1K
99442 <1% 65 $884.29
11750 <1% 29 $765.99
81025 <1% 115 $740.05
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $681.36
99441 <1% 56 $422.40
81003 <1% 448 $379.16
73630 <1% 23 $344.79
36415 Collection of venous blood by venipuncture <1% 24 $67.35
85610 <1% 17 $25.65
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 0% 377 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 6,200 $0.00
G8421 Bmi not documented and no reason is given 0% 522 $0.00
G8482 Influenza immunization administered or previously received 0% 1,960 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 2,402 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 737 $0.00
1090F 0% 308 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 649 $0.00
G9534 Advanced brain imaging (cta, ct, mra or mri) was not ordered 0% 123 $0.00
1124F 0% 217 $0.00
4004F 0% 629 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 542 $0.00
4040F 0% 658 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 300 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 39 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 42 $0.00
81002 0% 41 $0.00
3017F 0% 1,623 $0.00
1036F 0% 1,586 $0.00
1123F 0% 398 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 75 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 221 $0.00
G9535 Patients with a normal neurological examination 0% 124 $0.00
0509F 0% 198 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 650 $0.00
G8732 No documentation of pain assessment, reason not given 0% 297 $0.00
G9197 Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis 0% 18 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 504 $0.00
4044F 0% 18 $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 officialBERGAMO, SUZANNE (VP)
Same official

Other billing entities under BERGAMO, SUZANNE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.