Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

American Arthritis & Rheumatology Associates in LLC

American Arthritis & Rheumatology Associates in LLC was paid $1.13M by Medicaid between Nov 2020 and Jul 2024, across 11 billing codes. Its largest line is J0129, Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) — 85% of everything it billed.

33Billing provider infoAMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES IN LLC
WESTFIELD, IN 46062
33aNPI1477047256assigned 06/15/2018
33bProvider typeRheumatology Physician
28Total paid$1.13M
24GClaims4,353
24DCodes billed11
24AFirst – last monthNov 2020 – Jul 2024
Compared with peers

Next to other Rheumatology Physician providers in Indiana

Rank by total paid#3 of 13
Median peer was paid$124K
This provider vs. median9.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GARRETT, KATHRYN controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
202098$4K
20211,179$339K
20221,334$379K
20231,410$388K
2024incomplete332$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 85% 642 478 $960K
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 8.1% 1,658 1,492 $91K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4.5% 1,250 889 $51K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.8% 243 210 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 41 37 $992.14
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 205 177 $974.37
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 <1% 14 12 $723.94
J1040 Injection, methylprednisolone acetate, 80 mg <1% 136 119 $642.70
J1020 Injection, methylprednisolone acetate, 20 mg <1% 115 106 $177.33
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 35 24 $43.56
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% 14 13 $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 officialGARRETT, KATHRYN (EVP)
Same official

Other billing entities under GARRETT, KATHRYN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.