Pike Medical Consultants PC

Pike Medical Consultants PC was paid $10.22M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99349, — 21% of everything it billed.

33Billing provider infoPIKE MEDICAL CONSULTANTS PC
INDIANAPOLIS, IN 46268

33aNPI1770689242assigned 09/15/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$10.22M

24GClaims244,074

24DCodes billed52

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Indiana

Rank by total paid#2 of 15

Median peer was paid$96K

This provider vs. median107×

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	13,469	$231K
2019	15,437	$332K
2020	24,309	$615K
2021	40,268	$1.35M
2022	52,941	$2.16M
2023	53,008	$3.02M
2024incomplete	44,642	$2.50M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99349		21%	30,616	13,242	$2.13M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	12%	12,902	10,290	$1.22M
99348		12%	25,516	10,689	$1.20M
99336		10%	17,241	6,963	$1.05M
99309	Subsequent nursing facility care, per day, low to moderate complexity	10%	59,209	33,723	$1.05M
99344		6.4%	7,931	6,631	$654K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.9%	7,446	5,908	$603K
99335		5.3%	12,764	4,547	$540K
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	4.5%	10,076	7,315	$463K
99326		3.6%	5,329	4,358	$370K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.8%	7,144	5,406	$181K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1.3%	7,265	5,458	$135K

40 more codes

99308	Subsequent nursing facility care, per day, straightforward	<1%	7,919	$92K
99203	Doctor's office visit, new patient (routine)	<1%	1,508	$89K
99327		<1%	916	$74K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	4,916	$69K
99213	Doctor's office visit, returning patient (routine)	<1%	880	$47K
94004		<1%	2,540	$43K
99310	Prolong nursin fac eval 15m	<1%	1,612	$41K
99305		<1%	2,004	$41K
99345	Prolong home eval add 15m	<1%	363	$34K
99306	Prolong nursin fac eval 15m	<1%	516	$15K
99215	Doctor's office visit, returning patient (complex)	<1%	166	$14K
99205	Prolong outpt/office vis	<1%	91	$10K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	800	$8K
99304		<1%	419	$7K
99337		<1%	47	$6K
99342		<1%	128	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	530	$5K
99334		<1%	245	$4K
99307		<1%	501	$4K
81003		<1%	1,805	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	250	$2K
99316		<1%	80	$2K
99350	Prolong home eval add 15m	<1%	16	$2K
36415	Collection of venous blood by venipuncture	<1%	348	$866.09
99347		<1%	23	$746.39
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	21	$565.32
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	62	$490.72
99318		<1%	24	$288.50
81025		<1%	49	$265.19
90756		<1%	19	$236.95
99072		<1%	6,876	$97.50
90686		<1%	14	$79.29
90687		<1%	15	$70.78
99051		<1%	4,698	$39.31
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	91	$13.51
99490	Ccm add 20min	0%	33	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	40	$0.00
99497		0%	15	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	40	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	15	$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 officialPIKE, JAMES (PRESIDENT)