South Bend Emergency Physicians, INC

South Bend Emergency Physicians, INC was paid $11.82M by Medicaid between Jan 2019 and Nov 2024, across 9 billing codes. Its largest line is 99284, emergency room visit (serious) — 50% of everything it billed.

33Billing provider infoSOUTH BEND EMERGENCY PHYSICIANS, INC
SOUTH BEND, IN 46601

33aNPI1487132114assigned 08/03/2018

33bProvider typeEmergency Medicine Physician

28Total paid$11.82M

24GClaims188,002

24DCodes billed9

24AFirst – last monthJan 2019 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Indiana

Rank by total paid#8 of 191

Median peer was paid$126K

This provider vs. median94×

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
2019	29,698	$1.44M
2020	24,671	$1.43M
2021	35,914	$2.05M
2022	38,274	$2.30M
2023	38,787	$2.48M
2024incomplete	20,658	$2.12M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	50%	88,348	76,997	$5.91M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	41%	53,899	46,986	$4.84M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.6%	24,525	22,141	$894K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	19,391	16,866	$79K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	583	497	$73K
99223	Prolong inpt eval add15 m	<1%	112	110	$17K
99406		<1%	205	170	$4K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	12	12	$371.34
99053		0%	927	817	$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 officialBLAKESLEY, MICHAEL (VICE PRESIDENT)