University Medical Diagnostic Associates, INC.

University Medical Diagnostic Associates, INC. was paid $28.26M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoUNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.
INDIANAPOLIS, IN 46202

33aNPI1861441537assigned 05/09/2006

33bProvider typeAllergy & Immunology Physician

28Total paid$28.26M

24GClaims403,550

24DCodes billed87

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Allergy & Immunology Physician providers in Indiana

Rank by total paid#1 of 24

Median peer was paid$141K

This provider vs. median200×

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	74,282	$1.20M
2019	53,773	$3.61M
2020	53,435	$4.12M
2021	63,314	$5.58M
2022	64,965	$5.53M
2023	58,799	$5.05M
2024incomplete	34,982	$3.17M

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	27%	96,879	84,761	$7.75M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	14%	21,708	6,806	$4.04M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	8.8%	58,150	24,058	$2.48M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.5%	37,144	15,182	$2.41M
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	6.1%	5,135	4,622	$1.72M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	5.5%	32,414	29,653	$1.56M
99223	Prolong inpt eval add15 m	4.6%	11,508	9,855	$1.29M
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	4.5%	16,867	14,864	$1.26M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.2%	25,410	22,544	$1.19M
99222	Initial hospital care, per day, moderate complexity	3.7%	13,445	9,855	$1.05M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.1%	6,172	5,264	$595K
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	2.0%	6,499	5,820	$572K

75 more codes

43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.7%	2,454	$478K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	1,136	$229K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	8,396	$220K
43235		<1%	999	$130K
93458		<1%	909	$121K
99152		<1%	4,773	$115K
93000		<1%	9,813	$90K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	721	$72K
99203	Doctor's office visit, new patient (routine)	<1%	1,776	$69K
90961		<1%	703	$69K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	3,258	$65K
95811		<1%	589	$56K
99205	Prolong outpt/office vis	<1%	1,003	$48K
36902		<1%	184	$44K
93351		<1%	623	$42K
93227		<1%	1,788	$33K
94010		<1%	4,576	$32K
94729		<1%	4,560	$32K
95251		<1%	1,174	$30K
93307		<1%	905	$28K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	502	$27K
93272		<1%	1,529	$27K
90966		<1%	274	$25K
43264		<1%	204	$22K
93248		<1%	1,031	$22K
90937		<1%	377	$17K
94726		<1%	1,653	$16K
93320		<1%	1,454	$15K
93295		<1%	625	$14K
94060		<1%	1,734	$14K
93018		<1%	1,855	$13K
91200		<1%	2,171	$13K
99221		<1%	522	$12K
85097		<1%	206	$12K
99239	Hospital discharge day management, more than 30 minutes	<1%	339	$11K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	1,349	$9K
93244		<1%	334	$7K
36556		<1%	59	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	359	$5K
90945		<1%	157	$5K
95800		<1%	137	$5K
95806		<1%	88	$4K
94727		<1%	353	$4K
93296		<1%	360	$4K
74328		<1%	184	$3K
31500		<1%	33	$2K
93750		<1%	47	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	540	$2K
43253		<1%	18	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	117	$1K
93350		<1%	376	$1K
93312		<1%	66	$1K
93016		<1%	209	$1K
43241		<1%	13	$1K
93294		<1%	85	$995.74
93297		<1%	52	$666.89
20611		<1%	17	$562.79
93228		<1%	16	$467.31
99442		<1%	55	$461.48
77001		<1%	50	$352.24
93280		<1%	12	$247.69
99451		<1%	23	$169.65
93246		<1%	13	$157.32
90785		<1%	33	$139.25
93325		<1%	120	$115.36
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%	1,778	$108.88
76937		<1%	20	$61.46
99446		<1%	12	$17.36
36416		0%	134	$0.00
36415	Collection of venous blood by venipuncture	0%	98	$0.00
92928		0%	13	$0.00
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	0%	13	$0.00
93460		0%	13	$0.00
99449		0%	34	$0.00
0298T		0%	13	$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 officialBETLEY, THOMAS (ASSOCIATE VICE CHAIR)