Behavioral
Indiana University Health Ball Memorial Physicians, INC.
Indiana University Health Ball Memorial Physicians, INC. was paid $26.09M by Medicaid between Jan 2018 and Dec 2024, across 184 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoINDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
MUNCIE, IN 47303
MUNCIE, IN 47303
33aNPI1235455544assigned 04/12/2010
33bProvider typePsychologist
28Total paid$26.09M
24GClaims580,046
24DCodes billed184
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Indiana
Rank by total paid#4 of 53
Median peer was paid$395K
This provider vs. median66×
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 | 85,590 | $996K | |
| 2019 | 83,881 | $3.20M | |
| 2020 | 68,569 | $2.77M | |
| 2021 | 79,141 | $3.82M | |
| 2022 | 95,224 | $5.18M | |
| 2023 | 102,990 | $6.07M | |
| 2024incomplete | 64,651 | $4.06M |
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 | 24% | 100,639 | 86,324 | $6.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 105,821 | 89,538 | $5.43M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.2% | 66,839 | 26,282 | $2.13M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.9% | 20,515 | 9,975 | $1.02M |
| 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 | 3.8% | 10,452 | 9,249 | $984K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 10,057 | 7,891 | $924K |
| 99223 | Prolong inpt eval add15 m | 2.4% | 6,692 | 5,854 | $619K |
| 59425 | 2.2% | 7,320 | 5,764 | $563K | |
| 59426 | 2.0% | 6,292 | 4,281 | $515K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.9% | 8,879 | 4,430 | $496K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 87,509 | 70,928 | $476K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 7,757 | 4,045 | $461K |
172 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.7% | 11,363 | $452K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 3,371 | $376K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 6,602 | $351K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.2% | 561 | $325K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 3,996 | $267K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.0% | 1,610 | $262K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,141 | $258K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 5,552 | $249K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 2,930 | $236K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 2,170 | $212K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 6,512 | $162K |
| 99284 | Emergency room visit (serious) | <1% | 2,859 | $143K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 1,275 | $121K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,921 | $119K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,212 | $117K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,919 | $116K |
| 59430 | <1% | 754 | $113K | |
| 90961 | <1% | 2,653 | $111K | |
| 99283 | Emergency room visit (moderate) | <1% | 3,361 | $109K |
| 99285 | Emergency room visit (most serious) | <1% | 1,734 | $107K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,019 | $95K |
| 99460 | <1% | 1,025 | $85K | |
| 93000 | <1% | 10,012 | $83K | |
| 99205 | Prolong outpt/office vis | <1% | 688 | $76K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 481 | $75K |
| 95886 | <1% | 1,271 | $71K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 1,733 | $69K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 371 | $68K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 362 | $67K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,509 | $65K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 661 | $63K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,320 | $61K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 2,934 | $56K |
| 95251 | <1% | 2,231 | $56K | |
| 00731 | <1% | 989 | $47K | |
| 00142 | <1% | 1,112 | $46K | |
| 76801 | <1% | 695 | $42K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 508 | $40K |
| 94729 | <1% | 1,379 | $32K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 337 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 362 | $27K |
| 93016 | <1% | 2,155 | $26K | |
| 94727 | <1% | 1,374 | $24K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 92 | $24K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 537 | $23K |
| 45390 | <1% | 137 | $23K | |
| 76818 | <1% | 440 | $22K | |
| 93018 | <1% | 2,711 | $22K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 613 | $22K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 3,444 | $21K |
| 76820 | <1% | 641 | $20K | |
| 76942 | <1% | 912 | $20K | |
| 31575 | <1% | 258 | $20K | |
| 94010 | <1% | 1,280 | $17K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 282 | $17K |
| 99462 | <1% | 456 | $17K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,437 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 186 | $15K |
| 93298 | <1% | 1,361 | $14K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,722 | $14K |
| 62370 | <1% | 473 | $12K | |
| 95811 | <1% | 133 | $12K | |
| 93272 | <1% | 476 | $11K | |
| 20553 | <1% | 369 | $11K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 385 | $11K |
| 99221 | <1% | 199 | $11K | |
| 93296 | <1% | 1,342 | $10K | |
| 76813 | <1% | 211 | $10K | |
| 93971 | <1% | 771 | $10K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 302 | $9K |
| 95909 | <1% | 163 | $9K | |
| 90686 | <1% | 1,028 | $8K | |
| 90962 | <1% | 217 | $8K | |
| 93295 | <1% | 364 | $8K | |
| 54160 | <1% | 31 | $8K | |
| 91200 | <1% | 352 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,226 | $7K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 192 | $7K |
| 90677 | <1% | 54 | $7K | |
| 64615 | <1% | 78 | $6K | |
| 99406 | <1% | 706 | $5K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,306 | $5K |
| 99219 | <1% | 213 | $5K | |
| 62323 | <1% | 78 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,075 | $5K |
| 95806 | <1% | 85 | $4K | |
| 93299 | <1% | 42 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 236 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 168 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | $3K |
| 94060 | <1% | 190 | $3K | |
| 95912 | <1% | 27 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 235 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 35 | $3K |
| 76825 | <1% | 26 | $3K | |
| 11045 | <1% | 117 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 157 | $2K |
| 99218 | <1% | 47 | $2K | |
| 99217 | <1% | 81 | $2K | |
| 20610 | <1% | 114 | $2K | |
| 99220 | <1% | 115 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | $2K |
| 99442 | <1% | 202 | $2K | |
| 90715 | <1% | 103 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 74 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 567 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 50 | $2K |
| 93458 | <1% | 41 | $2K | |
| 73564 | <1% | 74 | $2K | |
| 85610 | <1% | 729 | $2K | |
| 99225 | <1% | 59 | $2K | |
| 76536 | <1% | 17 | $1K | |
| 93880 | <1% | 87 | $1K | |
| 99417 | Prolong home eval add 15m | <1% | 44 | $1K |
| 90656 | <1% | 123 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 28 | $823.40 |
| 59025 | Fetal non-stress test | <1% | 223 | $759.22 |
| 92511 | <1% | 13 | $738.43 | |
| 64405 | <1% | 14 | $707.20 | |
| 93970 | <1% | 28 | $627.17 | |
| 00811 | <1% | 38 | $624.90 | |
| 73030 | <1% | 46 | $538.74 | |
| 11721 | <1% | 60 | $519.87 | |
| 93923 | <1% | 62 | $511.65 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $461.58 |
| 99305 | <1% | 17 | $439.96 | |
| 99443 | <1% | 41 | $388.80 | |
| 93244 | <1% | 14 | $356.29 | |
| 69210 | <1% | 14 | $348.09 | |
| 87428 | <1% | 14 | $342.51 | |
| 99441 | <1% | 78 | $341.20 | |
| 51701 | <1% | 23 | $328.78 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 15 | $316.23 |
| 20552 | <1% | 14 | $302.58 | |
| 93228 | <1% | 21 | $286.77 | |
| 99401 | <1% | 31 | $284.46 | |
| 73502 | <1% | 15 | $266.86 | |
| 93227 | <1% | 13 | $264.43 | |
| 96158 | <1% | 16 | $262.61 | |
| 81025 | <1% | 209 | $227.32 | |
| 00790 | <1% | 27 | $211.38 | |
| 36416 | <1% | 58 | $191.92 | |
| 93308 | <1% | 13 | $187.35 | |
| 96150 | <1% | 16 | $185.66 | |
| 83037 | <1% | 29 | $156.69 | |
| 93294 | <1% | 12 | $149.58 | |
| 94726 | <1% | 14 | $113.92 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 402 | $97.82 |
| 51798 | <1% | 16 | $84.65 | |
| 99152 | <1% | 12 | $83.99 | |
| 81003 | <1% | 37 | $72.46 | |
| 94761 | <1% | 48 | $40.70 | |
| 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% | 230 | $3.12 |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 68 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 169 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 265 | $0.00 |
| 99310 | Prolong nursin fac eval 15m | 0% | 25 | $0.00 |
| 00840 | 0% | 51 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 121 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 43 | $0.00 |
| 00851 | 0% | 18 | $0.00 | |
| 81002 | 0% | 15 | $0.00 | |
| 90662 | 0% | 13 | $0.00 | |
| 76000 | 0% | 40 | $0.00 | |
| 76937 | 0% | 20 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 121 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 387 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 242 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 431 | $0.00 |
| 64488 | 0% | 31 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 21 | $0.00 |
| 99140 | 0% | 17 | $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 officialLUTHER, LORI (COO)
| Provider | Location | Paid |
|---|---|---|
| Indiana University Health Care Associates, INC. | Indianapolis, IN | $154K |
| University Family Physicians,inc | Indianapolis, IN | $47K |
| University Family Physicians, INC. | Indianapolis, IN | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.