Hospital
Bluffton Health System LLC
Bluffton Health System LLC was paid $6.35M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 99283, emergency room visit (moderate) — 34% of everything it billed.
33Billing provider infoBLUFFTON HEALTH SYSTEM LLC
BLUFFTON, IN 46714
BLUFFTON, IN 46714
33aNPI1376594366assigned 05/13/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$6.35M
24GClaims127,560
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Indiana
Rank by total paid#43 of 69
Median peer was paid$9.76M
This provider vs. median0.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more
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 | 10,103 | $222K | |
| 2019 | 11,723 | $457K | |
| 2020 | 15,067 | $514K | |
| 2021 | 22,975 | $1.18M | |
| 2022 | 24,662 | $1.44M | |
| 2023 | 25,770 | $1.52M | |
| 2024incomplete | 17,260 | $1.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 34% | 12,657 | 10,302 | $2.13M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 20% | 10,822 | 2,363 | $1.28M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 18% | 7,275 | 5,427 | $1.14M |
| 71045 | Radiologic examination, chest; single view | 5.4% | 2,787 | 2,087 | $345K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 4.5% | 2,309 | 626 | $287K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.1% | 1,003 | 860 | $133K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.9% | 1,899 | 1,533 | $123K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.5% | 4,680 | 1,301 | $93K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.3% | 1,492 | 1,003 | $81K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 539 | 457 | $69K |
| 80053 | Comprehensive metabolic panel | <1% | 8,825 | 6,527 | $52K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 334 | 242 | $47K |
89 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 11,175 | $47K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,180 | $46K |
| 36415 | Collection of venous blood by venipuncture | <1% | 21,332 | $44K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 441 | $40K |
| 87428 | <1% | 1,302 | $37K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 224 | $35K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 73 | $34K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,075 | $28K |
| 80061 | Lipid panel | <1% | 3,464 | $25K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,537 | $19K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 5,030 | $15K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,910 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 708 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 345 | $10K |
| 80050 | General health panel | <1% | 80 | $9K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,418 | $9K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 720 | $8K |
| 84702 | <1% | 988 | $7K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 437 | $7K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 264 | $6K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 265 | $6K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 39 | $6K |
| 87653 | <1% | 213 | $6K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 990 | $6K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 232 | $6K |
| 84484 | <1% | 972 | $6K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 178 | $5K |
| 73630 | <1% | 225 | $5K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 58 | $5K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 205 | $5K |
| 80081 | <1% | 71 | $5K | |
| 83605 | <1% | 659 | $4K | |
| 59025 | Fetal non-stress test | <1% | 16 | $4K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 238 | $4K |
| 76830 | Ultrasound, transvaginal | <1% | 17 | $3K |
| 81001 | <1% | 1,859 | $3K | |
| 86592 | <1% | 931 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 67 | $3K |
| 83690 | <1% | 770 | $3K | |
| 83735 | <1% | 626 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 18 | $2K |
| 80306 | <1% | 258 | $2K | |
| 80076 | <1% | 591 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 98 | $1K |
| 86850 | <1% | 485 | $1K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 237 | $1K |
| 87807 | <1% | 96 | $1K | |
| 86762 | <1% | 92 | $917.72 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 20 | $905.26 |
| 81003 | <1% | 546 | $768.57 | |
| 80055 | <1% | 46 | $700.15 | |
| 85027 | <1% | 188 | $671.37 | |
| 82950 | <1% | 183 | $651.89 | |
| 84460 | <1% | 365 | $580.78 | |
| 84450 | <1% | 365 | $578.29 | |
| 83615 | <1% | 98 | $535.68 | |
| 87522 | Neg quan hep c or qual rna | <1% | 14 | $428.40 |
| 86901 | <1% | 329 | $424.72 | |
| 86900 | <1% | 328 | $418.51 | |
| 82570 | <1% | 91 | $387.50 | |
| 84550 | <1% | 100 | $364.38 | |
| 82550 | <1% | 114 | $364.10 | |
| 87340 | <1% | 59 | $345.38 | |
| 82043 | <1% | 68 | $331.67 | |
| 82565 | <1% | 149 | $324.26 | |
| 83655 | <1% | 25 | $306.41 | |
| 87400 | <1% | 27 | $283.70 | |
| 82951 | <1% | 27 | $280.47 | |
| 84703 | <1% | 43 | $278.24 | |
| 81025 | <1% | 47 | $256.74 | |
| 82248 | <1% | 107 | $217.51 | |
| 85379 | <1% | 35 | $188.58 | |
| 86803 | <1% | 16 | $154.14 | |
| 82728 | <1% | 14 | $136.30 | |
| 87276 | <1% | 40 | $125.68 | |
| 87275 | <1% | 40 | $120.76 | |
| 86140 | <1% | 54 | $97.67 | |
| 85652 | <1% | 53 | $54.04 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 22 | $51.31 |
| 84520 | <1% | 13 | $42.60 | |
| 82150 | <1% | 14 | $31.04 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 701 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 14 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 48 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 13 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 43 | $0.00 |
| J0780 | Injection, prochlorperazine, up to 10 mg | 0% | 283 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 776 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 211 | $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 officialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Northwest Hospital LLC | Tucson, AZ | $47.81M |
| Roswell Hospital Corporation | Roswell, NM | $41.27M |
| Wesley Health System LLC | Hattiesburg, MS | $37.82M |
| Metro Knoxville Hma LLC | Powell, TN | $28.70M |
| Bullhead City Hospital Corporation | Bullhead City, AZ | $28.54M |
| Iom Health System LP | Fort Wayne, IN | $27.50M |
| ST. Joseph Health System, LLC | Fort Wayne, IN | $25.43M |
| Laredo Texas Hospital Company LP | Laredo, TX | $19.46M |
| Oak Hill Hospital Corporation | Oak Hill, WV | $18.77M |
| Cocke County Hma, LLC | Newport, TN | $18.34M |
| Cleveland Tennessee Hospital Company LLC | Cleveland, TN | $16.31M |
| Jefferson County Hma LLC | Jefferson City, TN | $14.31M |
| Northwest Arkansas Hospitals, LLC | Springdale, AR | $11.46M |
| Petersburg Hospital Company LLC | Petersburg, VA | $11.20M |
| Campbell County Hma, LLC | Lafollette, TN | $10.07M |
| Warsaw Health System LLC | Warsaw, IN | $9.95M |
| Longview Medical Center LP | Longview, TX | $9.29M |
| Moberly Hospital Company LLC | Moberly, MO | $8.61M |
| Crestview Hospital Company, LLC | Crestview, FL | $8.15M |
| Kirksville Missouri Hospital Company, LLC | Kirksville, MO | $7.98M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.