Physician
The Methodist Hospitals, INC
The Methodist Hospitals, INC was paid $10.92M by Medicaid between Jan 2018 and Dec 2024, across 131 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoTHE METHODIST HOSPITALS, INC
GARY, IN 46404
GARY, IN 46404
33aNPI1720290349assigned 05/04/2007
33bProvider typeObesity Medicine (Family Medicine) Physician
28Total paid$10.92M
24GClaims398,944
24DCodes billed131
24AFirst – last monthJan 2018 – Dec 2024
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 | 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 | |
| 2024incomplete | 51,594 | $1.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 57,703 | 48,673 | $3.52M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 67,358 | 56,652 | $3.11M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 45,031 | 14,974 | $1.13M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.9% | 14,033 | 6,696 | $540K |
| 59425 | 2.3% | 3,658 | 2,599 | $252K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.8% | 11,629 | 3,376 | $192K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 2,782 | 2,392 | $190K |
| 99223 | Prolong inpt eval add15 m | 1.7% | 2,793 | 2,370 | $188K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.3% | 1,365 | 480 | $147K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 1,784 | 1,516 | $144K |
| 59426 | 1.3% | 1,925 | 986 | $139K | |
| 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% | 1,876 | 1,633 | $98K |
119 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,167 | $98K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 3,303 | $95K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,731 | $94K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,375 | $76K |
| 87428 | <1% | 2,475 | $69K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,203 | $65K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 820 | $61K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,138 | $60K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 637 | $58K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 944 | $54K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 789 | $50K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,954 | $38K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,276 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,893 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,222 | $34K |
| 99221 | <1% | 893 | $31K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,094 | $31K |
| 93000 | <1% | 2,565 | $17K | |
| 81025 | <1% | 2,341 | $16K | |
| 31505 | <1% | 332 | $15K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 910 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,130 | $13K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,224 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 440 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,280 | $11K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 92 | $10K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 110 | $10K |
| 99385 | <1% | 184 | $9K | |
| 99307 | <1% | 1,068 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 605 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 99 | $7K |
| 82962 | <1% | 4,659 | $7K | |
| 87210 | <1% | 1,765 | $7K | |
| 99220 | <1% | 451 | $7K | |
| 90756 | <1% | 385 | $7K | |
| 99000 | <1% | 3,509 | $6K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 42 | $6K |
| 93016 | <1% | 589 | $5K | |
| 93296 | <1% | 506 | $4K | |
| 93297 | <1% | 400 | $4K | |
| 93295 | <1% | 200 | $4K | |
| 54150 | <1% | 40 | $4K | |
| 99226 | <1% | 406 | $4K | |
| 99218 | <1% | 64 | $3K | |
| 99225 | <1% | 752 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 116 | $3K |
| 80061 | Lipid panel | <1% | 742 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 833 | $3K |
| 93925 | <1% | 25 | $3K | |
| 99217 | <1% | 437 | $3K | |
| 69210 | <1% | 186 | $3K | |
| 90674 | <1% | 169 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 105 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $2K |
| 93458 | <1% | 27 | $2K | |
| 93018 | <1% | 283 | $2K | |
| 99460 | <1% | 47 | $2K | |
| 90670 | <1% | 1,135 | $2K | |
| 99381 | <1% | 15 | $1K | |
| 99219 | <1% | 106 | $1K | |
| 80047 | <1% | 315 | $1K | |
| 93289 | <1% | 44 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 90688 | <1% | 198 | $959.35 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 50 | $820.59 |
| 99442 | <1% | 128 | $801.98 | |
| 93015 | <1% | 27 | $707.83 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 13 | $487.45 |
| 99224 | <1% | 32 | $427.67 | |
| 93298 | <1% | 32 | $342.64 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 396 | $310.49 |
| 85018 | <1% | 301 | $278.17 | |
| 90680 | <1% | 536 | $264.19 | |
| 85014 | <1% | 301 | $254.80 | |
| 90633 | <1% | 126 | $251.84 | |
| 90723 | <1% | 328 | $248.43 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 73 | $232.66 |
| 81003 | <1% | 344 | $217.15 | |
| 87807 | <1% | 19 | $167.42 | |
| J2010 | Injection, lincomycin hcl, up to 300 mg | <1% | 18 | $164.48 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $141.68 |
| 82044 | <1% | 32 | $104.02 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 311 | $95.55 |
| 99443 | <1% | 18 | $78.04 | |
| 99201 | <1% | 13 | $73.16 | |
| 93288 | <1% | 15 | $72.19 | |
| 82570 | <1% | 33 | $71.30 | |
| 93294 | <1% | 15 | $65.31 | |
| 85610 | <1% | 26 | $56.17 | |
| 81002 | <1% | 67 | $44.70 | |
| 90648 | <1% | 422 | $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) | <1% | 100 | $30.58 |
| 94760 | <1% | 15 | $16.37 | |
| J1815 | Injection, insulin, per 5 units | <1% | 14 | $6.45 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 40 | $0.35 |
| 90647 | <1% | 155 | $0.19 | |
| 0502F | <1% | 1,335 | $0.04 | |
| 90744 | <1% | 20 | $0.04 | |
| 3078F | <1% | 33,113 | $0.01 | |
| 1159F | <1% | 13,599 | $0.01 | |
| 90671 | <1% | 89 | $0.01 | |
| 3074F | <1% | 37,795 | $0.01 | |
| 1125F | <1% | 794 | $0.01 | |
| 3077F | 0% | 5,125 | $0.00 | |
| 1160F | 0% | 3,006 | $0.00 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 37 | $0.00 |
| 3079F | 0% | 12,153 | $0.00 | |
| 3008F | 0% | 4,355 | $0.00 | |
| 3075F | 0% | 4,255 | $0.00 | |
| 1126F | 0% | 711 | $0.00 | |
| 3080F | 0% | 2,491 | $0.00 | |
| 99406 | 0% | 15 | $0.00 | |
| 0501F | 0% | 26 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | $0.00 |
| 90698 | 0% | 31 | $0.00 | |
| 99386 | 0% | 51 | $0.00 | |
| 1111F | 0% | 44 | $0.00 | |
| 90697 | 0% | 31 | $0.00 | |
| 59430 | 0% | 22 | $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 officialDOYLE, MATHEW (PRESIDENT)