Jeffery a Bollenbacher DO PSC

Jeffery a Bollenbacher DO PSC was paid $40K by Medicaid between Jan 2018 and Aug 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoJEFFERY A BOLLENBACHER DO PSC
TERRE HAUTE, IN 47802

33aNPI1700275823assigned 01/13/2015

33bProvider typeSports Medicine (Orthopaedic Surgery) Physician

28Total paid$40K

24GClaims2,026

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Indiana

Rank by total paid#3 of 5

Median peer was paid$40K

This provider vs. median1.0×

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	716	$6K
2019	605	$14K
2020	383	$11K
2021	322	$10K

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	79%	1,584	1,252	$32K
20610		12%	242	150	$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	4.1%	57	53	$2K
73564		3.2%	84	79	$1K
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.1%	59	55	$442.24

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 officialBOLLENBACHER, JEFFERY (ORTHOPEDIC SURGEON)