Physician
Lincoln Pediatrics
Lincoln Pediatrics was paid $3.28M by Medicaid between Jan 2018 and Jun 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoLINCOLN PEDIATRICS
LA PORTE, IN 46350
LA PORTE, IN 46350
33aNPI1447404546assigned 11/17/2008
33bProvider typePediatrics Physician
28Total paid$3.28M
24GClaims80,696
24DCodes billed41
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#9 of 119
Median peer was paid$395K
This provider vs. median8.3×
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 | 21,438 | $605K | |
| 2019 | 19,941 | $605K | |
| 2020 | 16,408 | $545K | |
| 2021 | 8,655 | $542K | |
| 2022 | 7,376 | $489K | |
| 2023 | 5,055 | $342K | |
| 2024incomplete | 1,823 | $151K |
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% | 25,197 | 21,287 | $1.37M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 4,354 | 4,057 | $368K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,446 | 4,010 | $365K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 4,603 | 3,994 | $355K |
| 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 | 6.8% | 2,933 | 2,624 | $224K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 2,371 | 2,188 | $200K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 7,540 | 3,705 | $91K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 2,112 | 1,968 | $64K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 6,582 | 5,401 | $53K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,951 | 1,765 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,595 | 734 | $23K |
| 90670 | <1% | 1,850 | 1,665 | $23K |
29 more codes
| 99381 | <1% | 301 | $22K | |
| 99460 | <1% | 245 | $16K | |
| 99383 | <1% | 101 | $10K | |
| 90680 | <1% | 1,101 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 81 | $7K |
| 87807 | <1% | 666 | $7K | |
| 90474 | <1% | 742 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 165 | $5K |
| 90716 | <1% | 892 | $4K | |
| 90713 | <1% | 1,989 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 49 | $4K |
| 90651 | <1% | 160 | $4K | |
| 90700 | <1% | 2,236 | $4K | |
| 90707 | <1% | 952 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 73 | $3K |
| 90744 | <1% | 1,115 | $2K | |
| 90648 | <1% | 1,822 | $2K | |
| 90715 | <1% | 268 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 90633 | <1% | 920 | $1K | |
| 90686 | <1% | 598 | $725.41 | |
| 90658 | <1% | 98 | $392.29 | |
| 90685 | <1% | 27 | $233.16 | |
| 90621 | <1% | 102 | $156.60 | |
| 90657 | <1% | 17 | $91.38 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $42.51 |
| 81002 | <1% | 15 | $40.86 | |
| 90734 | 0% | 324 | $0.00 | |
| 90649 | 0% | 69 | $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 officialSERGIWA, ADAM (CEO)