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

John L Stafford MD LLC

John L Stafford MD LLC was paid $523K by Medicaid between Feb 2020 and Nov 2024, across 17 billing codes. Its largest line is 59425, — 25% of everything it billed.

33Billing provider infoJOHN L STAFFORD MD LLC
WASHINGTON, IN 47501
33aNPI1316591639assigned 07/25/2019
28Total paid$523K
24GClaims9,757
24DCodes billed17
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Indiana

Rank by total paid#22 of 89
Median peer was paid$64K
This provider vs. median8.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
2020502$14K
20211,231$63K
20221,958$107K
20233,064$170K
2024incomplete3,002$170K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59425 25% 1,563 1,193 $131K
59426 23% 1,264 672 $121K
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% 1,493 1,297 $107K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 8.6% 659 567 $45K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.7% 419 388 $35K
76830 Ultrasound, transvaginal 3.6% 198 179 $19K
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 2.3% 115 113 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.9% 87 79 $10K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1.8% 13 13 $9K
59430 1.8% 62 55 $9K
81002 1.8% 3,110 1,985 $9K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1.0% 157 146 $5K
5 more codes
81025 <1% 440 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 31 $2K
54150 <1% 16 $2K
59025 Fetal non-stress test <1% 56 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 74 $933.54

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 officialSTAFFORD, JOHN (OWNER)
Same official

Other billing entities under STAFFORD, JOHN

Full network →
ProviderLocationPaid
John M. Stafford, MD, and Associates, P.C.Saint Joseph, MI$114K

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