Physician
The Methodist Hospitals, INC.
The Methodist Hospitals, INC. was paid $288K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoTHE METHODIST HOSPITALS, INC.
GARY, IN 46404
GARY, IN 46404
33aNPI1609104033assigned 11/23/2009
33bProvider typeSurgery Physician
28Total paid$288K
24GClaims6,551
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Indiana
Rank by total paid#7 of 48
Median peer was paid$19K
This provider vs. median15×
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 | 633 | $7K | |
| 2019 | 1,036 | $69K | |
| 2020 | 534 | $25K | |
| 2021 | 1,342 | $55K | |
| 2022 | 1,082 | $49K | |
| 2023 | 1,058 | $47K | |
| 2024incomplete | 866 | $35K |
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 | 47% | 2,324 | 1,957 | $135K |
| 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 | 21% | 780 | 695 | $61K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 583 | 534 | $39K |
| 11043 | 6.1% | 259 | 94 | $18K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 4.2% | 432 | 198 | $12K |
| 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 | 2.1% | 100 | 95 | $6K |
| 99205 | Prolong outpt/office vis | 1.6% | 35 | 31 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 142 | 122 | $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% | 60 | 54 | $2K |
| 43235 | <1% | 14 | 14 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 74 | 12 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 88 | 39 | $1K |
8 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 31 | $661.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $631.88 |
| 3077F | 0% | 199 | $0.00 | |
| 3078F | 0% | 393 | $0.00 | |
| 3079F | 0% | 227 | $0.00 | |
| 3074F | 0% | 711 | $0.00 | |
| 3075F | 0% | 54 | $0.00 | |
| 3080F | 0% | 29 | $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 officialDOYLE, MATT (CFO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| The Methodist Hospitals, INC | Gary, IN | $919K |
| The Methodist Hospitals, INC | Gary, IN | $578K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.