Physician
Dekalb Memorial Hospital, INC
Dekalb Memorial Hospital, INC was paid $1.31M by Medicaid between Jan 2018 and Feb 2020, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoDEKALB MEMORIAL HOSPITAL, INC
AUBURN, IN 46706
AUBURN, IN 46706
33aNPI1366722415assigned 08/22/2011
33bProvider typeFamily Medicine Physician
28Total paid$1.31M
24GClaims38,876
24DCodes billed31
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#51 of 408
Median peer was paid$81K
This provider vs. median16×
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 | 12,125 | $262K | |
| 2019 | 22,936 | $884K | |
| 2020 | 3,815 | $159K |
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 | 46% | 11,494 | 9,410 | $606K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 14,572 | 12,128 | $560K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 4,211 | 3,432 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 363 | 294 | $26K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 1,510 | 1,166 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 240 | 199 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 888 | 350 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 87 | 87 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 566 | 492 | $5K |
| 90686 | <1% | 1,605 | 1,405 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | 25 | $3K |
| 59425 | <1% | 21 | 12 | $2K |
19 more codes
| 96127 | <1% | 393 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $685.65 |
| 81003 | <1% | 386 | $424.65 | |
| 87807 | <1% | 30 | $222.51 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 58 | $194.00 |
| 90474 | <1% | 22 | $112.96 | |
| 99307 | <1% | 35 | $37.15 | |
| 99051 | <1% | 1,679 | $10.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 27 | $0.00 |
| 90723 | 0% | 33 | $0.00 | |
| 90732 | 0% | 28 | $0.00 | |
| 90680 | 0% | 20 | $0.00 | |
| 90698 | 0% | 16 | $0.00 | |
| 90648 | 0% | 105 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 30 | $0.00 |
| 90670 | 0% | 242 | $0.00 | |
| 90715 | 0% | 48 | $0.00 | |
| 90633 | 0% | 75 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 39 | $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 officialPOLKOW, CRAIG (CEO)
| Provider | Location | Paid |
|---|---|---|
| Saint Thomas Dekalb Hospital, LLC | Smithville, TN | $1.05M |
| Dekalb Memorial Hospital, INC | Auburn, IN | $73K |
| Dekalb Memorial Hospital, INC | Auburn, IN | $39K |
| Dekalb Health Memorial Hosptial INC | Auburn, IN | $15K |
| Dekalb Memorial Hospital, INC | Auburn, IN | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.