Physician
Pediatrix Medical Group of Indiana, PC
Pediatrix Medical Group of Indiana, PC was paid $2.63M by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 39% of everything it billed.
33Billing provider infoPEDIATRIX MEDICAL GROUP OF INDIANA, PC
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
33aNPI1437256146assigned 09/17/2006
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$2.63M
24GClaims32,429
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in Indiana
Rank by total paid#1 of 11
Median peer was paid$112K
This provider vs. median24×
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 | 4,003 | $301K | |
| 2019 | 4,406 | $340K | |
| 2020 | 5,329 | $435K | |
| 2021 | 6,125 | $559K | |
| 2022 | 6,001 | $479K | |
| 2023 | 4,653 | $351K | |
| 2024incomplete | 1,912 | $164K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 39% | 13,416 | 2,498 | $1.02M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 27% | 3,103 | 716 | $701K |
| 99460 | 17% | 7,361 | 6,674 | $449K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 8.4% | 4,736 | 4,273 | $221K |
| 54150 | 4.5% | 1,437 | 1,288 | $119K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 2.9% | 1,226 | 340 | $76K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 241 | 200 | $15K |
| 99463 | <1% | 187 | 173 | $13K | |
| 99462 | <1% | 445 | 362 | $13K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 234 | 105 | $4K |
| 59025 | Fetal non-stress test | <1% | 43 | 26 | $573.21 |
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 officialPITZER, KEVIN (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Pediatrix Medical Group of Michigan PC | Sunrise, FL | $26.39M |
| Pediatrix Medical Group of Ohio Corp | Dayton, OH | $21.13M |
| Pediatrix Medical Group of Oklahoma, P.C. | Oklahoma City, OK | $11.18M |
| Obstetrix Medical Group of Indiana, P.C. | Indianapolis, IN | $1.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.