Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pankratz Medical LLC

Pankratz Medical LLC was paid $829K by Medicaid between Jan 2019 and Nov 2024, across 13 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 62% of everything it billed.

33Billing provider infoPANKRATZ MEDICAL LLC
COLUMBUS, IN 47203
33aNPI1588192157assigned 05/26/2017
33bProvider typeOphthalmology Physician
28Total paid$829K
24GClaims11,312
24DCodes billed13
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Indiana

Rank by total paid#10 of 107
Median peer was paid$43K
This provider vs. median19×

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$40K2018201920202021202220232024
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
2019766$11K
20201,635$138K
20212,295$179K
20222,478$204K
20232,415$220K
2024incomplete1,723$78K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 62% 788 590 $517K
67028 Intravitreal injection of a pharmacologic agent 11% 2,732 2,096 $92K
92134 6.8% 3,501 2,820 $56K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 1,411 1,130 $46K
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 5.4% 855 717 $45K
J9035 Injection, bevacizumab, 10 mg 3.1% 729 569 $26K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.7% 194 156 $14K
92250 1.5% 629 526 $12K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1.1% 47 25 $9K
92136 <1% 268 204 $6K
92083 <1% 113 92 $4K
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% 30 25 $2K
1 more codes
92133 <1% 15 $333.26

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 officialPANKRATZ, MICHAEL (PRESIDENT)
Same official

Other billing entities under PANKRATZ, MICHAEL

Full network →
ProviderLocationPaid
Pankratz Eye Institute, LLCColumbus, IN$38K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.