Clinic
Indiana University Health Paoli INC
Indiana University Health Paoli INC was paid $1.10M by Medicaid between Jan 2021 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoINDIANA UNIVERSITY HEALTH PAOLI INC
PAOLI, IN 47454
PAOLI, IN 47454
33aNPI1679182190assigned 07/30/2020
33bProvider typeRural Health Clinic/Center
28Total paid$1.10M
24GClaims45,941
24DCodes billed23
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Indiana
Rank by total paid#27 of 82
Median peer was paid$379K
This provider vs. median2.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CRAIG, MICHAEL controls 15+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 8,895 | $173K | |
| 2022 | 13,555 | $297K | |
| 2023 | 13,286 | $372K | |
| 2024incomplete | 10,205 | $256K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 64% | 12,460 | 10,969 | $700K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 12% | 14,614 | 12,745 | $130K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.2% | 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 | 4.6% | 1,462 | 1,019 | $51K |
| 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 | 3.4% | 508 | 474 | $37K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 3,218 | 2,736 | $33K |
| 87276 | 2.3% | 2,764 | 2,458 | $26K | |
| 87275 | 1.8% | 2,764 | 2,458 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 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% | 1,257 | 918 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,322 | 1,989 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 44 | 41 | $4K |
11 more codes
| 99406 | <1% | 140 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 40 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 61 | $905.18 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 21 | $599.75 |
| J3490 | Unclassified drugs | <1% | 45 | $477.98 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 86 | $375.24 |
| 81003 | <1% | 298 | $320.61 | |
| 99407 | <1% | 18 | $318.50 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $209.60 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 473 | $73.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $10.22 |
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 officialCRAIG, MICHAEL (CFO)
Parent organizationINDIANA UNIVERSITY HEALTH PAOLI INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.