Michiana Hematology-Oncology P C

Michiana Hematology-Oncology P C was paid $2.97M 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) — 31% of everything it billed.

33Billing provider infoMICHIANA HEMATOLOGY-ONCOLOGY P C
MISHAWAKA, IN 46545

33aNPI1619970183assigned 05/27/2005

33bProvider typeHematology & Oncology Physician

28Total paid$2.97M

24GClaims91,811

24DCodes billed35

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in Indiana

Rank by total paid#2 of 26

Median peer was paid$47K

This provider vs. median63×

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	14,681	$181K
2019	17,489	$466K
2020	17,235	$478K
2021	13,171	$493K
2022	12,361	$520K
2023	10,543	$510K
2024incomplete	6,331	$320K

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	31%	18,444	14,875	$926K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	26,276	21,175	$850K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	22%	15,517	8,678	$643K
96375	Therapeutic injection; each additional sequential IV push	4.4%	9,688	5,415	$132K
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	2.5%	418	38	$75K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.5%	630	480	$46K
J0897	Injection, denosumab, 1 mg	1.4%	106	92	$42K
77427		1.2%	502	202	$36K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.2%	5,019	3,372	$34K
Q0138	Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	1.0%	87	61	$31K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,967	1,670	$28K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	1,310	314	$19K

23 more codes

77336		<1%	443	$15K
99204	Doctor's office visit, new patient (more involved)	<1%	263	$12K
J2469	Injection, palonosetron hcl, 25 mcg	<1%	870	$12K
99205	Prolong outpt/office vis	<1%	77	$11K
96417		<1%	653	$9K
99222	Initial hospital care, per day, moderate complexity	<1%	169	$8K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	192	$8K
77334		<1%	55	$6K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	434	$5K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	61	$5K
96415		<1%	399	$4K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	144	$4K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	6,945	$3K
99203	Doctor's office visit, new patient (routine)	<1%	26	$2K
77263		<1%	14	$1K
96367		<1%	191	$1K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	65	$1K
90688		<1%	32	$187.96
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	225	$48.78
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	21	$5.89
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)	<1%	422	$2.96
J1453	Injection, fosaprepitant, 1 mg	0%	75	$0.00
96401		0%	71	$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 officialANSARI, BILAL (CO-OWNER)