Evansville Primary Care LLC

Evansville Primary Care LLC was paid $2.63M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoEVANSVILLE PRIMARY CARE LLC
EVANSVILLE, IN 47715

33aNPI1629027800assigned 05/08/2006

33bProvider typePediatrics Physician

28Total paid$2.63M

24GClaims57,121

24DCodes billed29

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Indiana

Rank by total paid#10 of 119

Median peer was paid$395K

This provider vs. median6.7×

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	7,890	$163K
2019	7,461	$302K
2020	7,840	$318K
2021	8,369	$443K
2022	10,936	$516K
2023	7,981	$460K
2024incomplete	6,644	$427K

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	50%	20,963	18,386	$1.33M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	26,480	22,826	$1.19M
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	271	253	$23K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	193	183	$16K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	2,754	2,061	$15K
99238	Hospital discharge day management, 30 minutes or less	<1%	329	280	$9K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	630	522	$8K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	86	81	$8K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	195	76	$6K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	356	162	$5K
99308	Subsequent nursing facility care, per day, straightforward	<1%	247	214	$4K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	29	29	$3K

17 more codes

90460	Immunization administration through 18 years of age via any route, first or only component	<1%	1,131	$3K
81002		<1%	1,654	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	25	$2K
90461		<1%	603	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	33	$964.15
99232	Hospital visit by a doctor, follow-up day	<1%	53	$698.61
90686		<1%	118	$570.92
83036	Hemoglobin; glycosylated (A1C)	<1%	100	$490.26
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	439	$321.71
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	30	$288.51
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	$169.11
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	119	$99.06
92551		<1%	18	$74.97
90734		0%	12	$0.00
90633		0%	13	$0.00
3008F		0%	211	$0.00
90651		0%	17	$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 officialCANTACESSI, KAYLYNN (MANAGER)