Physician
Primary Care Partners of South Bend
Primary Care Partners of South Bend was paid $1.29M by Medicaid between Sep 2020 and Dec 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPRIMARY CARE PARTNERS OF SOUTH BEND
SOUTH BEND, IN 46617
SOUTH BEND, IN 46617
33aNPI1497399927assigned 10/28/2019
33bProvider typePediatrics Physician
28Total paid$1.29M
24GClaims65,455
24DCodes billed61
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#29 of 119
Median peer was paid$395K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2020 | 3,679 | $46K | |
| 2021 | 16,210 | $312K | |
| 2022 | 17,910 | $352K | |
| 2023 | 17,202 | $334K | |
| 2024incomplete | 10,454 | $245K |
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% | 8,943 | 7,661 | $543K |
| 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 | 39% | 5,838 | 4,996 | $499K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 1,567 | 1,393 | $62K |
| 87428 | 2.0% | 764 | 685 | $26K | |
| 80305 | 1.6% | 1,864 | 1,464 | $21K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 2,222 | 1,749 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 138 | 127 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 122 | 114 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 666 | 515 | $10K |
| 96127 | <1% | 2,779 | 2,330 | $10K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 347 | 316 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | 84 | $8K |
49 more codes
| 99460 | <1% | 85 | $6K | |
| 99383 | <1% | 58 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 46 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 70 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $4K |
| 99406 | <1% | 226 | $4K | |
| 92551 | <1% | 942 | $4K | |
| 99000 | <1% | 1,328 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 93 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 36 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 229 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 20 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | $2K |
| 99384 | <1% | 19 | $2K | |
| 99382 | <1% | 12 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 506 | $1K |
| 36416 | <1% | 380 | $910.91 | |
| 99173 | <1% | 854 | $792.06 | |
| 90686 | <1% | 916 | $710.30 | |
| 0124A | <1% | 41 | $686.34 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 21 | $621.13 |
| 96160 | <1% | 692 | $611.08 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $563.05 |
| 0071A | <1% | 18 | $520.94 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 55 | $284.17 |
| 87807 | <1% | 27 | $251.44 | |
| 99457 | <1% | 26 | $210.45 | |
| 81003 | <1% | 32 | $54.70 | |
| 99177 | <1% | 14 | $44.07 | |
| 90656 | <1% | 37 | $39.86 | |
| 99174 | <1% | 12 | $15.36 | |
| 99072 | <1% | 793 | $12.00 | |
| 3074F | <1% | 4,814 | $7.06 | |
| 99051 | <1% | 415 | $0.11 | |
| 90670 | <1% | 24 | $0.02 | |
| 3008F | 0% | 7,808 | $0.00 | |
| 3079F | 0% | 1,121 | $0.00 | |
| 1036F | 0% | 3,236 | $0.00 | |
| 3075F | 0% | 608 | $0.00 | |
| 90480 | 0% | 29 | $0.00 | |
| 3080F | 0% | 169 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 3078F | 0% | 4,548 | $0.00 | |
| 3077F | 0% | 495 | $0.00 | |
| 1160F | 0% | 6,853 | $0.00 | |
| 3725F | 0% | 1,868 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90461 | 0% | 76 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 335 | $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 officialZABUKOVIC, BRANDON (MANAGING MEMBER)