Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Bloomington › NPI 1568627206
Physician NPI deactivated

Monroe Medical Group INC

Monroe Medical Group INC was paid $1.85M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoMONROE MEDICAL GROUP INC
BLOOMINGTON, IN 47403
33aNPI1568627206assigned 07/22/2008
33bProvider typeAnesthesiology Physician
28Total paid$1.85M
24GClaims60,284
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Anesthesiology Physician providers in Indiana

Rank by total paid#6 of 64
Median peer was paid$19K
This provider vs. median99×

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

$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
20188,727$77K
20198,595$199K
20206,920$190K
20218,341$285K
20228,540$299K
202311,701$455K
2024incomplete7,460$348K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 21,725 17,035 $1.03M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 18,989 14,010 $574K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.0% 2,009 764 $55K
99223 Prolong inpt eval add15 m 2.0% 461 409 $38K
99222 Initial hospital care, per day, moderate complexity 1.4% 588 437 $26K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.4% 764 589 $26K
99238 Hospital discharge day management, 30 minutes or less 1.2% 808 652 $21K
11721 1.0% 2,379 1,899 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,471 3,389 $14K
36415 Collection of venous blood by venipuncture <1% 4,842 4,085 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 203 166 $6K
99401 <1% 340 224 $6K
23 more codes
99204 Doctor's office visit, new patient (more involved) <1% 179 $6K
99442 <1% 499 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 463 $4K
92552 <1% 213 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 34 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 78 $2K
90674 <1% 197 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 361 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 18 $1K
99441 <1% 71 $715.88
90472 Immunization administration, each additional vaccine (list separately) <1% 77 $515.78
94010 <1% 58 $337.60
96127 <1% 89 $283.97
81003 <1% 130 $197.82
90460 Immunization administration through 18 years of age via any route, first or only component <1% 16 $196.89
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 $169.58
99173 <1% 85 $113.70
88304 <1% 15 $99.51
97803 <1% 48 $51.49
90686 0% 18 $0.00
G0008 Administration of influenza virus vaccine 0% 14 $0.00
99072 0% 16 $0.00
99491 Ccm add 20min 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 officialFIGG, SHELLY (PRACTICE MANAGER)