Physician
Marion General Hospital
Marion General Hospital was paid $18.85M by Medicaid between Jan 2018 and Dec 2024, across 132 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoMARION GENERAL HOSPITAL
MARION, IN 46952
MARION, IN 46952
33aNPI1528099041assigned 07/05/2006
33bProvider typeInternal Medicine Physician
28Total paid$18.85M
24GClaims488,257
24DCodes billed132
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#8 of 316
Median peer was paid$17K
This provider vs. median1,115×
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 | 66,235 | $1.01M | |
| 2019 | 67,287 | $2.00M | |
| 2020 | 54,858 | $1.88M | |
| 2021 | 73,714 | $3.15M | |
| 2022 | 81,783 | $3.88M | |
| 2023 | 83,370 | $3.89M | |
| 2024incomplete | 61,010 | $3.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 114,527 | 89,298 | $6.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 70,858 | 59,244 | $3.38M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.9% | 18,787 | 16,633 | $1.29M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.2% | 26,925 | 24,323 | $1.17M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.9% | 8,004 | 7,000 | $733K |
| 59426 | 3.6% | 9,089 | 4,499 | $686K | |
| 59425 | 3.4% | 9,925 | 7,616 | $649K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 5,023 | 4,209 | $416K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.1% | 4,405 | 3,885 | $399K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 4,460 | 3,687 | $362K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 6,899 | 6,093 | $261K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 3,096 | 2,689 | $250K |
120 more codes
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.2% | 7,782 | $219K |
| 99203 | Doctor's office visit, new patient (routine) | 1.0% | 3,726 | $190K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14,931 | $151K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 8,849 | $142K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 8,107 | $136K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,653 | $133K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,762 | $129K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,965 | $123K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,719 | $119K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 10,197 | $117K |
| 99349 | <1% | 5,872 | $115K | |
| 99223 | Prolong inpt eval add15 m | <1% | 2,075 | $110K |
| 59430 | <1% | 943 | $109K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12,764 | $108K |
| 87428 | <1% | 3,842 | $107K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,447 | $97K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,768 | $87K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,595 | $87K |
| 81002 | <1% | 25,052 | $67K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 2,025 | $66K |
| 87430 | <1% | 4,883 | $62K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,072 | $61K |
| 81025 | <1% | 6,124 | $37K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,405 | $36K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 324 | $36K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,561 | $34K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,120 | $29K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,145 | $28K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 813 | $26K |
| J3490 | Unclassified drugs | <1% | 163 | $26K |
| 95886 | <1% | 618 | $26K | |
| 90474 | <1% | 2,339 | $25K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 275 | $23K |
| 90682 | <1% | 1,213 | $22K | |
| 87420 | <1% | 1,939 | $20K | |
| 99381 | <1% | 265 | $19K | |
| 20553 | <1% | 671 | $18K | |
| 99221 | <1% | 477 | $17K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 268 | $13K |
| 87400 | <1% | 933 | $13K | |
| 99220 | <1% | 191 | $12K | |
| 81003 | <1% | 10,119 | $11K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,991 | $11K |
| 99406 | <1% | 1,188 | $11K | |
| 94726 | <1% | 1,874 | $9K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 88 | $9K |
| 99460 | <1% | 143 | $9K | |
| 94729 | <1% | 1,883 | $7K | |
| 90686 | <1% | 2,884 | $6K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 983 | $6K |
| 99305 | <1% | 398 | $5K | |
| 99462 | <1% | 185 | $5K | |
| 99350 | Prolong home eval add 15m | <1% | 138 | $5K |
| 99217 | <1% | 248 | $4K | |
| 87807 | <1% | 452 | $4K | |
| 51701 | <1% | 212 | $3K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 197 | $3K |
| 99336 | <1% | 303 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 274 | $3K |
| 94060 | <1% | 630 | $3K | |
| 17110 | <1% | 45 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,670 | $2K |
| 90670 | <1% | 3,409 | $2K | |
| 87210 | <1% | 834 | $2K | |
| 95912 | <1% | 15 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 36 | $1K |
| 99385 | <1% | 61 | $1K | |
| 59025 | Fetal non-stress test | <1% | 32 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 191 | $1K |
| 99219 | <1% | 21 | $899.20 | |
| 99442 | <1% | 160 | $889.17 | |
| 90715 | <1% | 596 | $682.16 | |
| 90698 | <1% | 3,033 | $652.19 | |
| 99417 | Prolong home eval add 15m | <1% | 16 | $493.88 |
| 99348 | <1% | 63 | $485.52 | |
| 90677 | <1% | 390 | $467.85 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 61 | $467.48 |
| 96137 | <1% | 13 | $444.60 | |
| 96131 | <1% | 13 | $421.75 | |
| 99307 | <1% | 108 | $393.22 | |
| 90673 | <1% | 49 | $381.20 | |
| 90680 | <1% | 2,202 | $354.50 | |
| 90649 | <1% | 210 | $334.78 | |
| 90656 | <1% | 84 | $279.42 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 39 | $278.51 |
| 90716 | <1% | 360 | $235.60 | |
| 96130 | <1% | 13 | $231.68 | |
| 90710 | <1% | 427 | $215.66 | |
| 84153 | <1% | 66 | $211.62 | |
| 99441 | <1% | 85 | $211.02 | |
| 51798 | <1% | 36 | $194.12 | |
| 80305 | <1% | 54 | $159.93 | |
| 90633 | <1% | 2,160 | $144.14 | |
| 99326 | <1% | 33 | $134.20 | |
| 86580 | <1% | 101 | $128.51 | |
| 90734 | <1% | 649 | $104.56 | |
| 96136 | <1% | 13 | $80.52 | |
| 90707 | <1% | 373 | $74.99 | |
| 94010 | <1% | 18 | $70.88 | |
| 82962 | <1% | 30 | $60.49 | |
| 90696 | <1% | 335 | $53.15 | |
| 90662 | <1% | 54 | $45.84 | |
| 86308 | <1% | 16 | $42.33 | |
| 90744 | <1% | 1,073 | $23.89 | |
| 90685 | <1% | 135 | $19.43 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 2,061 | $13.40 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $0.58 |
| 90671 | 0% | 480 | $0.00 | |
| 90681 | 0% | 116 | $0.00 | |
| 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% | 77 | $0.00 |
| 90648 | 0% | 40 | $0.00 | |
| 99225 | 0% | 23 | $0.00 | |
| 90697 | 0% | 687 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 827 | $0.00 |
| 90620 | 0% | 72 | $0.00 | |
| 90619 | 0% | 277 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 44 | $0.00 |
| 90723 | 0% | 44 | $0.00 | |
| 90651 | 0% | 16 | $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 officialHILTON-SIEBERT, STEPHANIE (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Marion General Hospital | Marion, IN | $2.70M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.