Physician
Rush Memorial Hospital
Rush Memorial Hospital was paid $10.69M by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoRUSH MEMORIAL HOSPITAL
RUSHVILLE, IN 46173
RUSHVILLE, IN 46173
33aNPI1497726020assigned 01/31/2006
33bProvider typeInternal Medicine Physician
28Total paid$10.69M
24GClaims236,065
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#12 of 316
Median peer was paid$17K
This provider vs. median632×
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 | 39,390 | $959K | |
| 2019 | 34,462 | $1.29M | |
| 2020 | 26,651 | $957K | |
| 2021 | 31,650 | $1.44M | |
| 2022 | 37,814 | $2.01M | |
| 2023 | 35,876 | $2.09M | |
| 2024incomplete | 30,222 | $1.95M |
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 | 45% | 70,386 | 37,714 | $4.79M |
| 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 | 15% | 28,000 | 15,481 | $1.56M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 8,557 | 7,576 | $1.20M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.7% | 5,464 | 4,602 | $713K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 5,200 | 2,906 | $250K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 2,490 | 1,319 | $245K |
| 71045 | Radiologic examination, chest; single view | 1.6% | 5,527 | 4,357 | $166K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 1,565 | 796 | $153K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.2% | 1,228 | 1,007 | $129K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.0% | 1,827 | 1,557 | $111K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,747 | 1,360 | $96K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,043 | 527 | $95K |
123 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 3,954 | $85K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,066 | $83K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,275 | $80K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 475 | $72K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 1,011 | $63K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 955 | $60K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 957 | $58K |
| 80053 | Comprehensive metabolic panel | <1% | 10,471 | $52K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13,874 | $50K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,074 | $49K |
| 36415 | Collection of venous blood by venipuncture | <1% | 23,888 | $47K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 749 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 307 | $31K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,361 | $30K |
| A0425 | Ground mileage, per statute mile | <1% | 282 | $28K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 2,146 | $25K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 465 | $25K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,260 | $24K |
| 86003 | <1% | 381 | $23K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,239 | $22K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,751 | $20K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 130 | $19K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,548 | $14K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 871 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,304 | $12K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 621 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 243 | $9K |
| 80061 | Lipid panel | <1% | 1,095 | $8K |
| 84484 | <1% | 1,083 | $8K | |
| 83605 | <1% | 1,249 | $8K | |
| 11719 | <1% | 2,027 | $7K | |
| 90680 | <1% | 61 | $6K | |
| 87634 | <1% | 138 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 791 | $6K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 122 | $6K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 506 | $5K |
| 80050 | General health panel | <1% | 18 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 463 | $4K |
| 90651 | <1% | 41 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 677 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $3K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 706 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 516 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 225 | $3K |
| 73630 | <1% | 527 | $3K | |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | <1% | 12 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 563 | $3K |
| 73130 | <1% | 453 | $3K | |
| 83880 | <1% | 154 | $3K | |
| 97162 | <1% | 35 | $3K | |
| 20610 | <1% | 36 | $3K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 86 | $2K |
| 83690 | <1% | 659 | $2K | |
| 81005 | <1% | 1,260 | $2K | |
| 94760 | <1% | 55 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 318 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 273 | $2K |
| 90682 | <1% | 139 | $2K | |
| 84481 | <1% | 124 | $2K | |
| 73030 | <1% | 286 | $2K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 88 | $2K |
| 87400 | <1% | 410 | $1K | |
| 73564 | <1% | 171 | $1K | |
| 80305 | <1% | 264 | $1K | |
| 73610 | <1% | 240 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 85 | $1K |
| 84439 | <1% | 178 | $1K | |
| 99307 | <1% | 228 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 33 | $1K |
| 82728 | <1% | 171 | $885.03 | |
| 73110 | <1% | 140 | $861.20 | |
| 85379 | <1% | 159 | $767.39 | |
| 82550 | <1% | 177 | $662.51 | |
| 90686 | <1% | 1,362 | $601.09 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 30 | $579.30 |
| 82150 | <1% | 230 | $569.16 | |
| 72100 | <1% | 66 | $553.67 | |
| 81001 | <1% | 412 | $476.44 | |
| 84460 | <1% | 162 | $447.20 | |
| 74018 | <1% | 72 | $445.84 | |
| 83735 | <1% | 157 | $436.29 | |
| 83550 | <1% | 144 | $406.30 | |
| 81025 | <1% | 50 | $351.34 | |
| 81015 | <1% | 147 | $336.61 | |
| 83540 | <1% | 145 | $311.28 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 32 | $302.40 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | $202.65 |
| 85018 | <1% | 24 | $163.86 | |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | <1% | 419 | $153.49 |
| 83655 | <1% | 12 | $142.08 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 27 | $107.46 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 41 | $101.19 |
| 87807 | <1% | 19 | $92.30 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 17 | $68.20 |
| 82607 | <1% | 12 | $60.32 | |
| 87077 | <1% | 15 | $52.20 | |
| 81002 | <1% | 13 | $39.78 | |
| 85027 | <1% | 12 | $28.73 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 116 | $27.24 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 869 | $25.58 |
| 81003 | <1% | 16 | $16.39 | |
| 99000 | <1% | 22 | $8.02 | |
| A9270 | Non-covered item or service | <1% | 119 | $0.29 |
| 90656 | <1% | 29 | $0.20 | |
| 90670 | <1% | 283 | $0.10 | |
| 90744 | <1% | 50 | $0.01 | |
| 90688 | <1% | 30 | $0.01 | |
| 90633 | <1% | 151 | $0.01 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 118 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 38 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 139 | $0.00 |
| 90698 | 0% | 28 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 0% | 28 | $0.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 27 | $0.00 |
| 80320 | 0% | 33 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 326 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 69 | $0.00 |
| 90648 | 0% | 64 | $0.00 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 13 | $0.00 |
| 90710 | 0% | 34 | $0.00 | |
| 90685 | 0% | 26 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90671 | 0% | 12 | $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 officialSMITH, BRADLEY (CEO)
Parent organizationRUSH MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| SFCDP LLC. | Fort Collins, CO | $2.71M |
| Bradley W. Smith, D.O., PLLC | Pueblo, CO | $1.19M |
| Premier Pediatrics, LLC | Newark, DE | $876K |
| Valudental Walzem1 PLLC | Windcrest, TX | $263K |
| Greenfield Township Trustees | Carroll, OH | $45K |
| Southmoor Pediatric Dentistry | Denver, CO | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.