Physician
The Methodist Hospitals, INC
The Methodist Hospitals, INC was paid $420K by Medicaid between Sep 2021 and Nov 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoTHE METHODIST HOSPITALS, INC
GARY, IN 46402
GARY, IN 46402
33aNPI1326614991assigned 06/03/2021
33bProvider typeGastroenterology Physician
28Total paid$420K
24GClaims12,205
24DCodes billed19
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Indiana
Rank by total paid#2 of 33
Median peer was paid$32K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2021 | 1,269 | $41K | |
| 2022 | 3,896 | $134K | |
| 2023 | 3,274 | $110K | |
| 2024incomplete | 3,766 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 2,446 | 2,223 | $106K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 16% | 4,260 | 1,658 | $69K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 507 | 470 | $50K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 1,320 | 724 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.7% | 671 | 617 | $37K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.3% | 497 | 440 | $30K |
| 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 | 5.6% | 348 | 314 | $23K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 159 | 145 | $17K |
| 99205 | Prolong outpt/office vis | 4.0% | 126 | 113 | $17K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.6% | 69 | 67 | $11K |
| 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 | 2.4% | 130 | 117 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 84 | 73 | $2K |
7 more codes
| 99221 | <1% | 37 | $2K | |
| 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% | 386 | $5.77 |
| 3074F | 0% | 501 | $0.00 | |
| 3079F | 0% | 196 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| 3078F | 0% | 397 | $0.00 | |
| 3077F | 0% | 58 | $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 officialDOYLE, MATTHEW (CEO)
Parent organizationTHE METHODIST HOSPITALS, INC
| Provider | Location | Paid |
|---|---|---|
| The Methodist Hospitals, INC | Gary, IN | $75.57M |
| The Methodist Hospitals, INC | Gary, IN | $2.18M |
| The Methodist Hospitals, INC. | Merrillville, IN | $2.17M |
| The Methodist Hospitals, INC | Gary, IN | $1.37M |
| The Methodist Hospitals, INC | Gary, IN | $172K |
| The Methodist Hospitals, INC | Gary, IN | $93K |
| The Methodist Hospitals, INC | Gary, IN | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.