Clinic
Woodlawn Hospital
Woodlawn Hospital was paid $2.21M by Medicaid between May 2020 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoWOODLAWN HOSPITAL
ROCHESTER, IN 46975
ROCHESTER, IN 46975
33aNPI1699338574assigned 04/17/2019
33bProvider typeRural Health Clinic/Center
28Total paid$2.21M
24GClaims67,117
24DCodes billed21
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Indiana
Rank by total paid#11 of 82
Median peer was paid$379K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2020 | 2,288 | $33K | |
| 2021 | 8,603 | $245K | |
| 2022 | 19,370 | $625K | |
| 2023 | 20,045 | $683K | |
| 2024incomplete | 16,811 | $628K |
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 | 45% | 18,587 | 14,219 | $990K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 22% | 33,625 | 24,785 | $494K |
| 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 | 18% | 5,713 | 4,569 | $400K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 2,101 | 1,723 | $143K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 898 | 727 | $68K |
| 59426 | 1.3% | 476 | 204 | $29K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 867 | 645 | $26K |
| 59425 | 1.0% | 386 | 238 | $23K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 261 | 254 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 208 | 156 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 705 | 593 | $9K |
| 81003 | <1% | 1,880 | 1,087 | $2K |
9 more codes
| 81025 | <1% | 92 | $712.06 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $186.78 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 17 | $91.17 |
| 87210 | <1% | 14 | $69.76 | |
| 90686 | <1% | 48 | $62.20 | |
| 83986 | <1% | 17 | $51.61 | |
| 1160F | 0% | 577 | $0.00 | |
| 1159F | 0% | 583 | $0.00 | |
| 3078F | 0% | 13 | $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 officialKRAFT, JOHN (CFO)
Parent organizationWOODLAWN HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Woodlawn Hospital | Argos, IN | $1.29M |
| Woodlawn Hospital | Rochester, IN | $379K |
| Woodlawn Hospital | Akron, IN | $316K |
| Woodlawn Hospital | Akron, IN | $121K |
| Woodlawn Hospital | Rochester, IN | $93K |
| Woodlawn Hospital | Rochester, IN | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.