Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

IU HEALTH BEDFORD PHYSICIANS, LLC

NPI: 1730430745 · BEDFORD, IN 47421 · Family Medicine Physician · NPI assigned 10/01/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CRAIG, MICHAEL controls 15+ related entities in our dataset. Read more

$1000K
Total Medicaid Paid
29,253
Total Claims
26,119
Beneficiaries
28
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialCRAIG, MICHAEL (CFO)
NPI Enumeration Date10/01/2012

Related Entities

Other providers sharing the same authorized official: CRAIG, MICHAEL

ProviderCityStateTotal 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
INDIANA UNIVERSITY HEALTH PAOLI INC PAOLI IN $1.10M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,030 $134K
2019 10,878 $464K
2020 8,345 $401K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,109 10,006 $479K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,617 12,050 $421K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 336 316 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 374 362 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 523 493 $15K
99308 Subsequent nursing facility care, per day, straightforward 703 591 $6K
90686 666 631 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 31 31 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 69 67 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 672 555 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 24 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 319 275 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 129 111 $1K
99442 118 93 $1K
99307 96 70 $785.87
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $620.55
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 41 38 $445.20
99232 Subsequent hospital care, per day, moderate complexity 21 14 $422.33
99443 21 21 $199.70
99318 67 67 $69.39
90662 44 43 $52.46
99406 17 17 $29.04
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 12 $7.56
G0008 Administration of influenza virus vaccine 164 163 $0.00
90632 22 16 $0.00
81002 14 13 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 12 12 $0.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 17 16 $0.00