Physician
Family Medicine of South Bend PC
Family Medicine of South Bend PC was paid $224K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.
33Billing provider infoFAMILY MEDICINE OF SOUTH BEND PC
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
33aNPI1356432538assigned 09/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$224K
24GClaims8,054
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#141 of 408
Median peer was paid$81K
This provider vs. median2.8×
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 | 1,364 | $21K | |
| 2019 | 728 | $29K | |
| 2020 | 673 | $24K | |
| 2021 | 920 | $43K | |
| 2022 | 821 | $35K | |
| 2023 | 1,578 | $40K | |
| 2024incomplete | 1,970 | $31K |
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 | 80% | 4,559 | 3,761 | $178K |
| 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 | 19% | 957 | 787 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 144 | 130 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 52 | 50 | $416.25 |
| 87428 | <1% | 15 | 14 | $317.18 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | 12 | $162.20 |
| 81002 | <1% | 25 | 16 | $80.04 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 19 | 12 | $55.74 |
| 90686 | <1% | 26 | 25 | $0.11 | |
| 3078F | 0% | 687 | 612 | $0.00 | |
| 3074F | 0% | 971 | 851 | $0.00 | |
| 3008F | 0% | 572 | 501 | $0.00 |
1 more codes
| 3079F | 0% | 15 | $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 officialCARDENAS, ANA (PRESIDENT)