Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › GARY › THE METHODIST HOSPITALS, INC

THE METHODIST HOSPITALS, INC

NPI: 1720290349 · GARY, IN 46404 · Obesity Medicine (Family Medicine) Physician · NPI assigned 05/04/2007

$10.92M
Total Medicaid Paid
398,944
Total Claims
293,110
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOYLE, MATHEW (PRESIDENT)
NPI Enumeration Date05/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,870 $867K
2019 49,250 $1.66M
2020 46,224 $1.56M
2021 55,740 $1.87M
2022 69,148 $1.89M
2023 70,118 $1.69M
2024 51,594 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 57,703 48,673 $3.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,358 56,652 $3.11M
99232 Subsequent hospital care, per day, moderate complexity 45,031 14,974 $1.13M
99233 Prolong inpt eval add15 m 14,033 6,696 $540K
59425 3,658 2,599 $252K
99231 Subsequent hospital care, per day, straightforward or low complexity 11,629 3,376 $192K
99222 Initial hospital care, per day, moderate complexity 2,782 2,392 $190K
99223 Prolong inpt eval add15 m 2,793 2,370 $188K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,365 480 $147K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,784 1,516 $144K
59426 1,925 986 $139K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,876 1,633 $98K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,167 1,011 $98K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,303 2,709 $95K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,731 1,555 $94K
99238 Hospital discharge day management, 30 minutes or less 2,375 1,991 $76K
87428 2,475 1,987 $69K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,203 1,855 $65K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 820 761 $61K
99239 Hospital discharge day management, more than 30 minutes 1,138 996 $60K
99215 Prolong outpt/office vis 637 565 $58K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 944 857 $54K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 789 705 $50K
90472 Immunization administration, each additional vaccine (list separately) 1,954 1,696 $38K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,276 1,011 $38K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,893 2,343 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,222 2,783 $34K
99221 893 816 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,094 946 $31K
93000 2,565 2,312 $17K
81025 2,341 1,871 $16K
31505 332 293 $15K
99308 Subsequent nursing facility care, per day, straightforward 910 768 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,130 993 $13K
83036 Hemoglobin; glycosylated (A1C) 2,224 1,927 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 440 398 $12K
36415 Collection of venous blood by venipuncture 4,280 3,587 $11K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 92 81 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 110 105 $10K
99385 184 164 $9K
99307 1,068 848 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 605 498 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 99 90 $7K
82962 4,659 3,929 $7K
87210 1,765 1,380 $7K
99220 451 328 $7K
90756 385 351 $7K
99000 3,509 3,053 $6K
J2785 Injection, regadenoson, 0.1 mg 42 39 $6K
93016 589 565 $5K
93296 506 469 $4K
93297 400 357 $4K
93295 200 182 $4K
54150 40 38 $4K
99226 406 254 $4K
99218 64 60 $3K
99225 752 338 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 116 107 $3K
80061 Lipid panel 742 670 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 833 718 $3K
93925 25 25 $3K
99217 437 328 $3K
69210 186 178 $3K
90674 169 131 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 105 93 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $2K
93458 27 25 $2K
93018 283 271 $2K
99460 47 32 $2K
90670 1,135 979 $2K
99381 15 12 $1K
99219 106 101 $1K
80047 315 286 $1K
93289 44 39 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 12 $1K
90688 198 185 $959.35
71046 Radiologic examination, chest; 2 views 50 49 $820.59
99442 128 111 $801.98
93015 27 26 $707.83
99310 Prolong nursin fac eval 15m 13 13 $487.45
99224 32 25 $427.67
93298 32 26 $342.64
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 396 351 $310.49
85018 301 272 $278.17
90680 536 447 $264.19
85014 301 272 $254.80
90633 126 106 $251.84
90723 328 271 $248.43
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 73 63 $232.66
81003 344 269 $217.15
87807 19 15 $167.42
J2010 Injection, lincomycin hcl, up to 300 mg 18 16 $164.48
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $141.68
82044 32 26 $104.02
J1885 Injection, ketorolac tromethamine, per 15 mg 311 276 $95.55
99443 18 17 $78.04
99201 13 12 $73.16
93288 15 14 $72.19
82570 33 26 $71.30
93294 15 13 $65.31
85610 26 14 $56.17
81002 67 44 $44.70
90648 422 361 $43.84
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) 100 92 $30.58
94760 15 12 $16.37
J1815 Injection, insulin, per 5 units 14 12 $6.45
J1050 Injection, medroxyprogesterone acetate, 1 mg 40 38 $0.35
90647 155 126 $0.19
0502F 1,335 794 $0.04
90744 20 17 $0.04
3078F 33,113 25,331 $0.01
1159F 13,599 11,209 $0.01
90671 89 79 $0.01
3074F 37,795 28,831 $0.01
1125F 794 717 $0.01
3077F 5,125 4,163 $0.00
1160F 3,006 2,535 $0.00
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 37 26 $0.00
3079F 12,153 9,675 $0.00
3008F 4,355 3,708 $0.00
3075F 4,255 3,356 $0.00
1126F 711 621 $0.00
3080F 2,491 1,989 $0.00
99406 15 14 $0.00
0501F 26 25 $0.00
G0008 Administration of influenza virus vaccine 24 24 $0.00
90698 31 22 $0.00
99386 51 50 $0.00
1111F 44 40 $0.00
90697 31 27 $0.00
59430 22 12 $0.00