University Pediatric Associates, INC.

University Pediatric Associates, INC. was paid $98.37M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99472, Subsequent inpatient pediatric critical care, per day, 2-5 years — 18% of everything it billed.

33Billing provider infoUNIVERSITY PEDIATRIC ASSOCIATES, INC.
INDIANAPOLIS, IN 46202

33aNPI1457396541assigned 06/20/2006

33bProvider typePsychologist

28Total paid$98.37M

24GClaims888,814

24DCodes billed116

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Psychologist providers in Indiana

Rank by total paid#1 of 53

Median peer was paid$395K

This provider vs. median249×

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	122,406	$8.79M
2019	118,561	$8.55M
2020	107,474	$13.68M
2021	134,799	$17.05M
2022	145,310	$17.65M
2023	146,408	$18.36M
2024incomplete	113,856	$14.29M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	18%	48,263	14,336	$17.86M
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	13%	115,690	102,526	$12.54M
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	10%	29,295	8,938	$9.97M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	7.4%	52,416	44,584	$7.26M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.9%	71,982	26,394	$6.82M
99480	Subsequent intensive care, per day, low birth weight infant	6.1%	56,041	16,932	$5.96M
99479	Subsequent intensive care, per day, very low birth weight infant	4.9%	42,968	11,170	$4.79M
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.5%	29,619	25,858	$4.39M
95782		3.4%	8,275	7,328	$3.32M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.3%	48,556	19,148	$3.22M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	3.0%	37,952	33,259	$3.00M
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	2.7%	26,243	22,754	$2.64M

104 more codes

99213	Doctor's office visit, returning patient (routine)	1.9%	24,554	$1.89M
99205	Prolong outpt/office vis	1.7%	9,129	$1.72M
95810	Polysomnography; sleep staging with 4 or more additional parameters	1.6%	5,575	$1.61M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.1%	4,353	$1.05M
99238	Hospital discharge day management, 30 minutes or less	<1%	12,806	$869K
99222	Initial hospital care, per day, moderate complexity	<1%	6,060	$745K
93320		<1%	27,918	$709K
99239	Hospital discharge day management, more than 30 minutes	<1%	6,528	$708K
94375		<1%	23,423	$523K
99223	Prolong inpt eval add15 m	<1%	2,866	$473K
99468		<1%	722	$433K
90791	Psychiatric diagnostic evaluation	<1%	3,758	$426K
99417	Prolong home eval add 15m	<1%	12,645	$424K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	5,334	$397K
99460		<1%	4,251	$369K
99477		<1%	1,293	$350K
93325		<1%	43,606	$327K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	39,853	$320K
76825		<1%	2,909	$267K
99217		<1%	3,419	$203K
99203	Doctor's office visit, new patient (routine)	<1%	2,578	$196K
93000		<1%	14,466	$191K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	596	$188K
64642		<1%	2,001	$171K
99219		<1%	1,547	$169K
93304		<1%	2,583	$132K
64643		<1%	1,552	$125K
90832	Psychotherapy session, about 30 minutes	<1%	1,728	$118K
95251		<1%	3,578	$112K
99471		<1%	144	$102K
96112		<1%	844	$98K
76827		<1%	2,908	$87K
93784		<1%	1,561	$76K
83036	Hemoglobin; glycosylated (A1C)	<1%	9,202	$74K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	2,285	$70K
96040		<1%	1,239	$55K
99292		<1%	517	$52K
93308		<1%	2,072	$52K
96113		<1%	312	$46K
93321		<1%	4,917	$46K
62370		<1%	650	$43K
99462		<1%	1,197	$41K
99464		<1%	645	$41K
93227		<1%	2,006	$41K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	973	$39K
99235		<1%	235	$36K
93294		<1%	1,390	$35K
94664		<1%	2,114	$35K
93296		<1%	1,733	$33K
96450		<1%	312	$31K
99283	Emergency room visit (moderate)	<1%	298	$22K
91200		<1%	572	$18K
93272		<1%	702	$18K
90785		<1%	1,393	$14K
96158		<1%	448	$14K
90837	Psychotherapy session, about an hour	<1%	140	$12K
93244		<1%	420	$11K
96167		<1%	249	$11K
99475		<1%	19	$11K
99220		<1%	74	$10K
99354		<1%	343	$10K
99284	Emergency room visit (serious)	<1%	88	$9K
99465		<1%	57	$9K
93248		<1%	265	$8K
94060		<1%	602	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	865	$7K
99225		<1%	99	$7K
90834	Psychotherapy session, about 45 minutes	<1%	68	$7K
99418	Prolong nursin fac eval 15m	<1%	187	$6K
00635		<1%	112	$6K
81002		<1%	1,976	$5K
93280		<1%	69	$4K
31622		<1%	18	$4K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	92	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	96	$4K
96156		<1%	69	$4K
99221		<1%	142	$3K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	683	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	80	$2K
96159		<1%	112	$2K
75561		<1%	12	$2K
90686		<1%	574	$1K
96154		<1%	25	$1K
62369		<1%	19	$853.26
36415	Collection of venous blood by venipuncture	<1%	303	$784.20
94726		<1%	44	$713.51
75565		<1%	32	$704.85
99457		<1%	28	$571.38
96409		<1%	283	$569.27
96127		<1%	192	$519.01
99355		<1%	16	$494.76
93225		<1%	24	$425.04
99401		<1%	29	$420.40
76937		<1%	30	$383.02
95117		<1%	30	$214.80
92587		<1%	17	$204.36
94799		<1%	26	$182.00
80061	Lipid panel	<1%	13	$169.70
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$125.41
94200		<1%	37	$102.98
94660		<1%	61	$90.06
96375	Therapeutic injection; each additional sequential IV push	<1%	26	$61.96
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	435	$0.00
98966		0%	20	$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 officialHANELINE, LAURA (SECRETARY - TREASURER)