Physician
Southern Indiana Pediatrics, LLC
Southern Indiana Pediatrics, LLC was paid $10.70M by Medicaid between Jan 2018 and Dec 2020, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSOUTHERN INDIANA PEDIATRICS, LLC
BLOOMINGTON, IN 47403
BLOOMINGTON, IN 47403
33aNPI1417921933assigned 02/13/2006
33bProvider typePediatrics Physician
28Total paid$10.70M
24GClaims344,106
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#4 of 119
Median peer was paid$395K
This provider vs. median27×
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 CRAIG, MICHAEL controls 15+ 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 | 128,455 | $3.59M | |
| 2019 | 117,736 | $3.64M | |
| 2020 | 97,915 | $3.47M |
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 | 42% | 87,694 | 77,647 | $4.45M |
| 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 | 14% | 21,735 | 19,540 | $1.54M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 15,592 | 13,325 | $1.20M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 14,175 | 13,064 | $1.17M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 7,328 | 6,870 | $602K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 43,764 | 39,765 | $454K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.9% | 24,242 | 21,687 | $418K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 2,895 | 2,708 | $232K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 4,490 | 4,066 | $143K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 27,485 | 25,080 | $135K |
| 92551 | <1% | 6,730 | 6,289 | $31K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 208 | 153 | $29K |
51 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 198 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,956 | $28K |
| 90670 | <1% | 9,109 | $24K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 215 | $23K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 371 | $23K |
| 90474 | <1% | 2,020 | $21K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 177 | $20K |
| 36416 | <1% | 7,101 | $20K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 102 | $13K |
| 96127 | <1% | 3,302 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 587 | $11K |
| 99173 | <1% | 7,569 | $8K | |
| 99051 | <1% | 17,498 | $7K | |
| 90723 | <1% | 6,099 | $7K | |
| 99460 | <1% | 71 | $6K | |
| 90473 | <1% | 457 | $6K | |
| 90686 | <1% | 16,951 | $6K | |
| 92552 | <1% | 250 | $4K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 168 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 42 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 297 | $4K |
| 90651 | <1% | 639 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 38 | $3K |
| 90681 | <1% | 1,974 | $3K | |
| 96161 | <1% | 1,068 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 36 | $2K |
| 90647 | <1% | 5,361 | $2K | |
| 90672 | <1% | 566 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 15 | $900.00 |
| 99464 | <1% | 12 | $570.46 | |
| 90633 | <1% | 1,940 | $502.36 | |
| 94760 | <1% | 333 | $411.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | $339.03 |
| 88720 | <1% | 119 | $337.65 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $265.26 |
| 90734 | <1% | 349 | $214.35 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 60 | $170.79 |
| 90716 | <1% | 78 | $141.72 | |
| 90785 | <1% | 14 | $125.57 | |
| 81002 | <1% | 38 | $121.54 | |
| 96146 | <1% | 116 | $112.18 | |
| 90710 | <1% | 42 | $105.14 | |
| 90707 | <1% | 79 | $80.25 | |
| 90696 | <1% | 40 | $51.59 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $43.80 |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 90 | $35.70 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 38 | $7.11 |
| 90700 | 0% | 40 | $0.00 | |
| 90715 | 0% | 41 | $0.00 | |
| 80061 | Lipid panel | 0% | 16 | $0.00 |
| 90620 | 0% | 35 | $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 officialCRAIG, MICHAEL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Bloomington, IN | $69.64M |
| Indiana University Health Bloomington INC | Bloomington, IN | $28.69M |
| Indiana University Health Arnett INC | Lafayette, IN | $26.01M |
| Indiana University Health Bedford, INC | Bedford, IN | $8.45M |
| Indiana University Health Paoli INC | Paoli, IN | $4.44M |
| Indiana University Health Bloomington INC | Bloomington, IN | $1.49M |
| Indiana University Health Paoli INC | Paoli, IN | $1.10M |
| Iu Health Bedford Physicians, LLC | Bedford, IN | $1000K |
| Iu Health Morgan Physicians, LLC | Martinsville, IN | $534K |
| Wagoner Family Dentistry, PC | Wagoner, OK | $510K |
| Orthopedics of South Central Indiana LLC | Bloomington, IN | $239K |
| Ambulance Service of Murfreesboro, LLC | Murfreesboro, TN | $16K |
| Indiana University Health Southern Indiana Physicians, LLC | Bloomington, IN | $0.00 |
| Bloomington Endoscopy Center, LLC | Bloomington, IN | $0.00 |
| Indiana University Health Southern Indiana Physicians LLC | Bloomington, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.