Clinic
Providence Medical Group LLC
Providence Medical Group LLC was paid $7.27M by Medicaid between Jan 2018 and Nov 2024, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoPROVIDENCE MEDICAL GROUP LLC
TERRE HAUTE, IN 47802
TERRE HAUTE, IN 47802
33aNPI1891729141assigned 07/11/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$7.27M
24GClaims200,086
24DCodes billed88
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Indiana
Rank by total paid#2 of 16
Median peer was paid$295K
This provider vs. median25×
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 | 41,448 | $535K | |
| 2019 | 40,156 | $1.37M | |
| 2020 | 33,599 | $1.30M | |
| 2021 | 27,082 | $1.27M | |
| 2022 | 20,148 | $1.11M | |
| 2023 | 23,264 | $1.07M | |
| 2024incomplete | 14,389 | $614K |
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% | 45,425 | 39,253 | $2.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 59,047 | 51,305 | $2.11M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.4% | 10,970 | 10,203 | $389K |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 4.1% | 609 | 294 | $295K |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 3.8% | 281 | 233 | $274K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 6,900 | 2,821 | $196K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 3,986 | 1,893 | $192K |
| 95250 | 2.4% | 2,726 | 2,489 | $173K | |
| 59426 | 2.3% | 2,178 | 993 | $164K | |
| 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 | 1.9% | 2,041 | 1,806 | $140K |
| 76536 | 1.2% | 1,684 | 1,553 | $89K | |
| 93000 | 1.2% | 11,320 | 10,001 | $86K |
76 more codes
| 95251 | 1.1% | 4,737 | $82K | |
| 59425 | 1.0% | 787 | $75K | |
| 93016 | <1% | 5,478 | $65K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 430 | $38K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 430 | $36K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,016 | $35K |
| 76830 | Ultrasound, transvaginal | <1% | 375 | $34K |
| 20610 | <1% | 1,044 | $31K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 363 | $26K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,032 | $26K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 576 | $25K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 1,292 | $23K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 466 | $22K |
| 93295 | <1% | 842 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 601 | $17K |
| 99442 | <1% | 1,376 | $17K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 610 | $15K |
| 93296 | <1% | 1,731 | $14K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 182 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 167 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 185 | $11K |
| 82962 | <1% | 7,632 | $11K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 390 | $9K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 659 | $8K |
| 99221 | <1% | 221 | $8K | |
| 93018 | <1% | 1,070 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 113 | $7K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 992 | $6K |
| 81025 | <1% | 891 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 726 | $5K |
| 99443 | <1% | 409 | $5K | |
| 99441 | <1% | 618 | $4K | |
| 90674 | <1% | 266 | $4K | |
| 93294 | <1% | 456 | $4K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 205 | $4K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 49 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 273 | $4K |
| 96415 | <1% | 252 | $4K | |
| 93971 | <1% | 388 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 394 | $4K |
| 59430 | <1% | 15 | $2K | |
| 93970 | <1% | 177 | $2K | |
| 90688 | <1% | 276 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 25 | $2K |
| 99152 | <1% | 228 | $2K | |
| 10005 | <1% | 18 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 107 | $1K |
| 77080 | <1% | 99 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 94 | $1K |
| 93925 | <1% | 69 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $1K |
| 93299 | <1% | 14 | $981.61 | |
| 93248 | <1% | 53 | $910.08 | |
| 93227 | <1% | 106 | $898.91 | |
| 93280 | <1% | 58 | $675.99 | |
| 78431 | <1% | 15 | $557.74 | |
| 99406 | <1% | 95 | $475.23 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 248 | $474.60 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 99 | $474.55 |
| J3490 | Unclassified drugs | <1% | 674 | $443.28 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 21 | $395.78 |
| 93880 | <1% | 12 | $273.27 | |
| 76770 | <1% | 12 | $272.40 | |
| 93298 | <1% | 14 | $154.99 | |
| 93246 | <1% | 12 | $98.11 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 17 | $86.88 |
| 93297 | <1% | 12 | $76.68 | |
| 81002 | <1% | 18 | $3.03 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $0.91 |
| J1815 | Injection, insulin, per 5 units | 0% | 579 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 31 | $0.00 |
| 93458 | 0% | 77 | $0.00 | |
| 99072 | 0% | 854 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 93225 | 0% | 12 | $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 officialBITTAR, GEORGE (OWNER)