Supplier
Midwest Express Care 4 LLC
Midwest Express Care 4 LLC was paid $17.70M by Medicaid between Feb 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoMIDWEST EXPRESS CARE 4 LLC
HAMMOND, IN 46320
HAMMOND, IN 46320
33aNPI1629502810assigned 04/14/2017
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$17.70M
24GClaims429,708
24DCodes billed29
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Indiana
Rank by total paid#6 of 560
Median peer was paid$29.96
This provider vs. median590,804×
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 | 6,114 | $76K | |
| 2019 | 9,646 | $352K | |
| 2020 | 14,081 | $591K | |
| 2021 | 60,623 | $2.90M | |
| 2022 | 107,437 | $4.76M | |
| 2023 | 138,923 | $5.28M | |
| 2024incomplete | 92,884 | $3.74M |
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 | 37% | 86,400 | 71,917 | $6.62M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 78,227 | 64,645 | $4.18M |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 14% | 83,028 | 68,407 | $2.47M |
| 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 | 9.4% | 18,288 | 15,573 | $1.66M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.9% | 64,716 | 47,574 | $1.41M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 9,693 | 8,159 | $598K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 35,267 | 28,803 | $388K |
| 81025 | <1% | 9,822 | 8,165 | $66K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,643 | 1,459 | $62K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,901 | 1,659 | $59K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,586 | 1,923 | $57K |
| 81002 | <1% | 17,540 | 14,598 | $46K |
17 more codes
| 87807 | <1% | 5,657 | $43K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 120 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 190 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,393 | $7K |
| 99000 | <1% | 3,553 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 465 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 99384 | <1% | 29 | $1K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 30 | $1K |
| 99383 | <1% | 14 | $762.44 | |
| 87905 | <1% | 16 | $210.92 | |
| 87808 | <1% | 16 | $210.18 | |
| 99441 | <1% | 15 | $83.90 | |
| 94760 | <1% | 117 | $81.94 | |
| 99051 | <1% | 3,151 | $48.00 | |
| 36416 | <1% | 13 | $28.92 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 4,805 | $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 officialSHAH, MILAP (OWNER/ADMINISTRATOR)
Parent organizationMIDWEST EXPRESS CARE 4 LLC