NP / PA
Indiana University Health Bloomington INC
Indiana University Health Bloomington INC was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 16% of everything it billed.
33Billing provider infoINDIANA UNIVERSITY HEALTH BLOOMINGTON INC
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
33aNPI1871519074assigned 07/14/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$1.49M
24GClaims80,718
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Indiana
Rank by total paid#3 of 148
Median peer was paid$20K
This provider vs. median75×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CRAIG, MICHAEL controls 15+ related entities in our dataset. Read more
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 | 8,349 | $65K | |
| 2019 | 15,540 | $361K | |
| 2020 | 16,227 | $578K | |
| 2021 | 7,677 | $222K | |
| 2022 | 14,172 | $92K | |
| 2023 | 11,804 | $103K | |
| 2024incomplete | 6,949 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 5,423 | 3,151 | $232K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 14% | 3,474 | 2,851 | $212K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 5,652 | 2,151 | $170K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 9.0% | 1,603 | 1,427 | $134K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.1% | 9,994 | 9,470 | $120K |
| 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 | 7.6% | 1,790 | 1,613 | $113K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.9% | 930 | 756 | $58K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.6% | 940 | 441 | $53K |
| 83655 | 3.5% | 5,782 | 5,555 | $51K | |
| 99223 | Prolong inpt eval add15 m | 3.2% | 386 | 326 | $48K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.9% | 10,002 | 9,425 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 1,928 | 1,417 | $39K |
26 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 2,637 | $38K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.3% | 2,121 | $34K |
| 36415 | Collection of venous blood by venipuncture | 2.1% | 15,731 | $32K |
| 80061 | Lipid panel | 1.2% | 2,590 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 478 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 808 | $15K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 431 | $12K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 409 | $8K |
| 81003 | <1% | 3,917 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 989 | $7K |
| 81025 | <1% | 911 | $6K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 75 | $4K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 312 | $3K |
| 93016 | <1% | 431 | $3K | |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 166 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $2K |
| 87807 | <1% | 166 | $1K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 52 | $1K |
| 93018 | <1% | 209 | $914.69 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $674.04 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $662.30 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 99 | $204.44 |
| 97597 | <1% | 57 | $197.55 | |
| 86308 | <1% | 24 | $86.88 | |
| 85027 | <1% | 102 | $14.08 | |
| 99221 | 0% | 14 | $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 officialCRAIG, MICHAEL (CHIEF FINANCIAL OFFICER)
| Provider | Location | 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 Paoli INC | Paoli, IN | $1.10M |
| Iu Health Bedford Physicians, LLC | Bedford, IN | $1000K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.