Medicaid Provider Spending

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

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

NPI: 1871519074 · BLOOMINGTON, IN 47408 · Family Nurse Practitioner · NPI assigned 07/14/2006

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

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

$1.49M
Total Medicaid Paid
80,718
Total Claims
67,037
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCRAIG, MICHAEL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/14/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 6,949 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 5,423 3,151 $232K
90791 Psychiatric diagnostic evaluation 3,474 2,851 $212K
99232 Subsequent hospital care, per day, moderate complexity 5,652 2,151 $170K
90792 Psychiatric diagnostic evaluation with medical services 1,603 1,427 $134K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,994 9,470 $120K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,790 1,613 $113K
99239 Hospital discharge day management, more than 30 minutes 930 756 $58K
99233 Prolong inpt eval add15 m 940 441 $53K
83655 5,782 5,555 $51K
99223 Prolong inpt eval add15 m 386 326 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,002 9,425 $44K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,928 1,417 $39K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,637 2,531 $38K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,121 939 $34K
36415 Collection of venous blood by venipuncture 15,731 14,270 $32K
80061 Lipid panel 2,590 2,360 $18K
99222 Initial hospital care, per day, moderate complexity 478 416 $17K
99238 Hospital discharge day management, 30 minutes or less 808 671 $15K
90853 Group psychotherapy (other than of a multiple-family group) 431 92 $12K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 409 159 $8K
81003 3,917 3,657 $7K
83036 Hemoglobin; glycosylated (A1C) 989 937 $7K
81025 911 865 $6K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 75 72 $4K
H0038 Self-help/peer services, per 15 minutes 312 301 $3K
93016 431 376 $3K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 166 149 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 36 $2K
87807 166 163 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 52 44 $1K
93018 209 193 $914.69
99215 Prolong outpt/office vis 15 12 $674.04
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $662.30
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 99 59 $204.44
97597 57 16 $197.55
86308 24 24 $86.88
85027 102 85 $14.08
99221 14 13 $0.00