Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INDIANA UNIVERSITY HEALTH PAOLI INC

NPI: 1679182190 · PAOLI, IN 47454 · Rural Health Clinic/Center · NPI assigned 07/30/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CRAIG, MICHAEL controls 15+ related entities in our dataset. Read more

$1.10M
Total Medicaid Paid
45,941
Total Claims
39,705
Beneficiaries
23
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCRAIG, MICHAEL (CFO)
Parent OrganizationINDIANA UNIVERSITY HEALTH PAOLI INC
NPI Enumeration Date07/30/2020

Related Entities

Other providers sharing the same authorized official: CRAIG, MICHAEL

ProviderCityStateTotal Paid
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC BLOOMINGTON IN $69.64M
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC BLOOMINGTON IN $28.69M
INDIANA UNIVERSITY HEALTH ARNETT INC LAFAYETTE IN $26.01M
SOUTHERN INDIANA PEDIATRICS, LLC BLOOMINGTON IN $10.70M
INDIANA UNIVERSITY HEALTH BEDFORD, INC BEDFORD IN $8.45M
INDIANA UNIVERSITY HEALTH PAOLI INC PAOLI IN $4.44M
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC BLOOMINGTON IN $1.49M
IU HEALTH BEDFORD PHYSICIANS, LLC BEDFORD IN $1000K
IU HEALTH MORGAN PHYSICIANS, LLC MARTINSVILLE IN $534K
WAGONER FAMILY DENTISTRY, PC WAGONER OK $510K
ORTHOPEDICS OF SOUTH CENTRAL INDIANA LLC BLOOMINGTON IN $239K
AMBULANCE SERVICE OF MURFREESBORO, LLC MURFREESBORO TN $16K
BLOOMINGTON ENDOSCOPY CENTER, LLC BLOOMINGTON IN $0.00
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC BLOOMINGTON IN $0.00
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC BLOOMINGTON IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 8,895 $173K
2022 13,555 $297K
2023 13,286 $372K
2024 10,205 $256K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,460 10,969 $700K
T1015 Clinic visit/encounter, all-inclusive 14,614 12,745 $130K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,819 2,495 $57K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 1,462 1,019 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 508 474 $37K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,218 2,736 $33K
87276 2,764 2,458 $26K
87275 2,764 2,458 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 497 442 $17K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,257 918 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,322 1,989 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 41 $4K
99406 140 132 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 40 38 $2K
71046 Radiologic examination, chest; 2 views 61 55 $905.18
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21 15 $599.75
J3490 Unclassified drugs 45 24 $477.98
87086 Culture, bacterial; quantitative colony count, urine 86 75 $375.24
81003 298 249 $320.61
99407 18 16 $318.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $209.60
G0463 Hospital outpatient clinic visit for assessment and management of a patient 473 330 $73.80
36415 Collection of venous blood by venipuncture 17 14 $10.22