SOUTHERN INDIANA PEDIATRICS, LLC
NPI: 1417921933
· BLOOMINGTON, IN 47403
· 208000000X
$10.70M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
128,455 |
$3.59M |
| 2019 |
117,736 |
$3.64M |
| 2020 |
97,915 |
$3.47M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
87,694 |
77,647 |
$4.45M |
| 99214 |
|
21,735 |
19,540 |
$1.54M |
| 99391 |
|
15,592 |
13,325 |
$1.20M |
| 99392 |
|
14,175 |
13,064 |
$1.17M |
| 99393 |
|
7,328 |
6,870 |
$602K |
| 90471 |
|
43,764 |
39,765 |
$454K |
| 90472 |
|
24,242 |
21,687 |
$418K |
| 99394 |
|
2,895 |
2,708 |
$232K |
| 99212 |
|
4,490 |
4,066 |
$143K |
| 96110 |
|
27,485 |
25,080 |
$135K |
| 92551 |
|
6,730 |
6,289 |
$31K |
| 90837 |
|
208 |
153 |
$29K |
| 90791 |
|
198 |
188 |
$29K |
| 87880 |
|
1,956 |
1,844 |
$28K |
| 90670 |
|
9,109 |
8,129 |
$24K |
| 99215 |
Prolong outpt/office vis |
215 |
188 |
$23K |
| 99480 |
|
371 |
51 |
$23K |
| 90474 |
|
2,020 |
1,817 |
$21K |
| 99479 |
|
177 |
55 |
$20K |
| 36416 |
|
7,101 |
6,502 |
$20K |
| 90847 |
|
102 |
88 |
$13K |
| 96127 |
|
3,302 |
2,887 |
$11K |
| 87804 |
|
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/reservoir |
168 |
147 |
$4K |
| 90792 |
|
42 |
40 |
$4K |
| 94640 |
|
297 |
264 |
$4K |
| 90651 |
|
639 |
580 |
$3K |
| 90834 |
|
38 |
28 |
$3K |
| 90681 |
|
1,974 |
1,783 |
$3K |
| 96161 |
|
1,068 |
963 |
$3K |
| 99238 |
|
36 |
28 |
$2K |
| 90647 |
|
5,361 |
4,799 |
$2K |
| 90672 |
|
566 |
501 |
$1K |
| J1050 |
Medroxyprogesterone acetate |
15 |
13 |
$900.00 |
| 99464 |
|
12 |
12 |
$570.46 |
| 90633 |
|
1,940 |
1,771 |
$502.36 |
| 94760 |
|
333 |
252 |
$411.20 |
| 96372 |
|
27 |
25 |
$339.03 |
| 88720 |
|
119 |
96 |
$337.65 |
| 71046 |
|
12 |
12 |
$265.26 |
| 90734 |
|
349 |
336 |
$214.35 |
| 36415 |
|
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 |
|
12 |
12 |
$43.80 |
| J8540 |
Oral dexamethasone |
90 |
89 |
$35.70 |
| J7620 |
Albuterol ipratrop non-comp |
38 |
36 |
$7.11 |
| 90700 |
|
40 |
38 |
$0.00 |
| 90715 |
|
41 |
39 |
$0.00 |
| 80061 |
|
16 |
14 |
$0.00 |
| 90620 |
|
35 |
26 |
$0.00 |