Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTHERN INDIANA PEDIATRICS, LLC

NPI: 1417921933 · BLOOMINGTON, IN 47403 · Pediatrics Physician · NPI assigned 02/13/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CRAIG, MICHAEL controls 15+ related entities in our dataset. Read more

$10.70M
Total Medicaid Paid
344,106
Total Claims
308,349
Beneficiaries
63
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialCRAIG, MICHAEL (CFO)
NPI Enumeration Date02/13/2006

Related Entities

Other providers sharing the same authorized official: CRAIG, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128,455 $3.59M
2019 117,736 $3.64M
2020 97,915 $3.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87,694 77,647 $4.45M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,735 19,540 $1.54M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15,592 13,325 $1.20M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,175 13,064 $1.17M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,328 6,870 $602K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43,764 39,765 $454K
90472 Immunization administration, each additional vaccine (list separately) 24,242 21,687 $418K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,895 2,708 $232K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,490 4,066 $143K
96110 Developmental screening, with scoring and documentation, per standardized instrument 27,485 25,080 $135K
92551 6,730 6,289 $31K
90837 Psychotherapy, 53 minutes with patient 208 153 $29K
90791 Psychiatric diagnostic evaluation 198 188 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,956 1,844 $28K
90670 9,109 8,129 $24K
99215 Prolong outpt/office vis 215 188 $23K
99480 Subsequent intensive care, per day, low birth weight infant 371 51 $23K
90474 2,020 1,817 $21K
99479 Subsequent intensive care, per day, very low birth weight infant 177 55 $20K
36416 7,101 6,502 $20K
90847 Family psychotherapy with the patient present, 50 minutes 102 88 $13K
96127 3,302 2,887 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 587 529 $11K
99173 7,569 7,075 $8K
99051 17,498 14,535 $7K
90723 6,099 5,440 $7K
99460 71 66 $6K
90473 457 394 $6K
90686 16,951 15,828 $6K
92552 250 211 $4K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 168 147 $4K
90792 Psychiatric diagnostic evaluation with medical services 42 40 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 297 264 $4K
90651 639 580 $3K
90834 Psychotherapy, 45 minutes with patient 38 28 $3K
90681 1,974 1,783 $3K
96161 1,068 963 $3K
99238 Hospital discharge day management, 30 minutes or less 36 28 $2K
90647 5,361 4,799 $2K
90672 566 501 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 15 13 $900.00
99464 12 12 $570.46
90633 1,940 1,771 $502.36
94760 333 252 $411.20
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27 25 $339.03
88720 119 96 $337.65
71046 Radiologic examination, chest; 2 views 12 12 $265.26
90734 349 336 $214.35
36415 Collection of venous blood by venipuncture 60 55 $170.79
90716 78 63 $141.72
90785 14 14 $125.57
81002 38 37 $121.54
96146 116 103 $112.18
90710 42 40 $105.14
90707 79 74 $80.25
90696 40 38 $51.59
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $43.80
J8540 Dexamethasone, oral, 0.25 mg 90 89 $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 38 36 $7.11
90700 40 38 $0.00
90715 41 39 $0.00
80061 Lipid panel 16 14 $0.00
90620 35 26 $0.00