Physician
Indiana Exceptional Medical Care
Indiana Exceptional Medical Care was paid $20.61M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoINDIANA EXCEPTIONAL MEDICAL CARE
EVANSVILLE, IN 47715
EVANSVILLE, IN 47715
33aNPI1669708756assigned 10/23/2009
33bProvider typeInternal Medicine Physician
28Total paid$20.61M
24GClaims363,401
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#6 of 316
Median peer was paid$17K
This provider vs. median1,218×
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 | 15,499 | $129K | |
| 2019 | 16,804 | $1.07M | |
| 2020 | 21,298 | $1.44M | |
| 2021 | 32,789 | $2.25M | |
| 2022 | 63,373 | $3.74M | |
| 2023 | 100,698 | $5.46M | |
| 2024incomplete | 112,940 | $6.51M |
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 | 61% | 136,317 | 81,821 | $12.47M |
| 99407 | 4.8% | 43,055 | 26,105 | $999K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.6% | 8,216 | 7,375 | $747K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.2% | 7,082 | 6,287 | $668K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.1% | 14,611 | 9,823 | $644K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 11,102 | 8,490 | $641K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.1% | 13,095 | 10,294 | $632K |
| 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 | 3.0% | 5,100 | 4,510 | $617K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.4% | 10,789 | 6,285 | $495K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.8% | 3,698 | 3,428 | $380K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.8% | 2,420 | 2,275 | $371K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 1,980 | 1,721 | $244K |
78 more codes
| 80305 | <1% | 19,439 | $205K | |
| 99401 | <1% | 7,637 | $184K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,994 | $146K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 5,674 | $140K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,225 | $124K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 9,759 | $111K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 3,282 | $83K |
| 4004F | <1% | 5,748 | $67K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 225 | $47K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 924 | $45K |
| 99397 | <1% | 684 | $45K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,185 | $41K |
| 99457 | <1% | 2,405 | $36K | |
| 0513F | <1% | 2,277 | $34K | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 2,201 | $34K |
| 99458 | <1% | 1,723 | $33K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,198 | $32K |
| 3085F | <1% | 2,034 | $31K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 573 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,049 | $24K |
| 99454 | <1% | 1,152 | $24K | |
| 90756 | <1% | 925 | $23K | |
| 95911 | <1% | 142 | $18K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,107 | $15K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 445 | $15K |
| 95913 | <1% | 80 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,087 | $11K |
| 90674 | <1% | 646 | $9K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,748 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 102 | $8K |
| 96132 | <1% | 246 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 211 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 28 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 45 | $4K |
| 99453 | <1% | 447 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 185 | $4K |
| 99497 | <1% | 309 | $3K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,923 | $3K |
| 99406 | <1% | 210 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,010 | $3K |
| 90732 | <1% | 21 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 45 | $2K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 28 | $2K |
| 96138 | <1% | 241 | $2K | |
| 3044F | <1% | 159 | $2K | |
| 92250 | <1% | 139 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 63 | $1K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 433 | $1K |
| 99310 | Prolong nursin fac eval 15m | <1% | 148 | $841.16 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 568 | $830.95 |
| 2014F | <1% | 63 | $600.00 | |
| 99490 | Ccm add 20min | <1% | 4,361 | $512.31 |
| 99316 | <1% | 13 | $485.44 | |
| 3046F | <1% | 26 | $320.00 | |
| 3011F | <1% | 264 | $220.00 | |
| 87486 | <1% | 28 | $180.47 | |
| 87625 | <1% | 49 | $162.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 17 | $153.06 |
| 87581 | <1% | 15 | $105.49 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 14 | $98.56 |
| 94010 | <1% | 20 | $51.60 | |
| 96127 | <1% | 117 | $42.10 | |
| 99439 | <1% | 2,705 | $26.94 | |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 12 | $20.52 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $15.28 |
| 81001 | <1% | 108 | $12.68 | |
| 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% | 340 | $11.53 |
| 3078F | 0% | 434 | $0.00 | |
| 99483 | Prolong outpt/office vis | 0% | 58 | $0.00 |
| 3074F | 0% | 608 | $0.00 | |
| 99484 | 0% | 244 | $0.00 | |
| 3079F | 0% | 546 | $0.00 | |
| 3075F | 0% | 368 | $0.00 | |
| 2023F | 0% | 107 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 124 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 63 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $0.00 |
| 87807 | 0% | 75 | $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 officialMCMANAWAY, ARIN (OFFICE MANAGER)