Physician
Southern Indiana Pediatrics P.S.C.
Southern Indiana Pediatrics P.S.C. was paid $2.63M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoSOUTHERN INDIANA PEDIATRICS P.S.C.
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1811043854assigned 01/25/2007
33bProvider typePediatrics Physician
28Total paid$2.63M
24GClaims92,259
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#11 of 119
Median peer was paid$395K
This provider vs. median6.6×
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 | 12,469 | $397K | |
| 2019 | 12,165 | $379K | |
| 2020 | 11,948 | $307K | |
| 2021 | 14,350 | $386K | |
| 2022 | 15,825 | $393K | |
| 2023 | 14,661 | $400K | |
| 2024incomplete | 10,841 | $363K |
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 | 33% | 11,958 | 10,780 | $868K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 11,714 | 10,528 | $625K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 2,617 | 2,468 | $197K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 2,353 | 2,175 | $171K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 2,330 | 2,089 | $165K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.8% | 11,328 | 10,297 | $125K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.1% | 5,308 | 4,908 | $107K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.8% | 2,124 | 1,969 | $73K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 4,080 | 3,774 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 713 | 655 | $52K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 7,562 | 6,947 | $47K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.5% | 459 | 405 | $40K |
30 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 2,903 | $29K |
| 36416 | <1% | 7,323 | $20K | |
| 99177 | <1% | 4,904 | $17K | |
| 81003 | <1% | 5,629 | $11K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 256 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 306 | $5K |
| 96127 | <1% | 1,195 | $3K | |
| 87070 | <1% | 290 | $3K | |
| 82465 | <1% | 1,455 | $2K | |
| 87807 | <1% | 283 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 384 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | $2K |
| 0072A | <1% | 59 | $632.57 | |
| 90670 | <1% | 797 | $548.26 | |
| 0071A | <1% | 64 | $482.89 | |
| 99188 | <1% | 28 | $224.74 | |
| 90698 | <1% | 488 | $186.56 | |
| 90688 | <1% | 747 | $174.41 | |
| 90680 | <1% | 169 | $172.50 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $106.47 |
| 99401 | <1% | 27 | $28.92 | |
| 90685 | <1% | 82 | $19.43 | |
| 90686 | 0% | 1,872 | $0.00 | |
| 90677 | 0% | 93 | $0.00 | |
| 90656 | 0% | 33 | $0.00 | |
| 90744 | 0% | 43 | $0.00 | |
| 91307 | 0% | 52 | $0.00 | |
| 99072 | 0% | 83 | $0.00 | |
| 90687 | 0% | 31 | $0.00 | |
| 90633 | 0% | 54 | $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 officialGULLEY, LYNN (PRESIDENT)