Physician
Michiana Spine, Sports & Occupational Rehab, PC
Michiana Spine, Sports & Occupational Rehab, PC was paid $379K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoMICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
33aNPI1912074659assigned 11/29/2006
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$379K
24GClaims23,316
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Indiana
Rank by total paid#4 of 7
Median peer was paid$379K
This provider vs. median1.0×
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 | 6,435 | $66K | |
| 2019 | 4,558 | $60K | |
| 2020 | 2,972 | $58K | |
| 2021 | 3,391 | $72K | |
| 2022 | 2,612 | $55K | |
| 2023 | 2,276 | $44K | |
| 2024incomplete | 1,072 | $25K |
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 | 68% | 7,024 | 5,336 | $256K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 28% | 4,271 | 3,331 | $106K |
| 83986 | 1.4% | 4,353 | 3,467 | $5K | |
| 84311 | 1.1% | 1,420 | 1,040 | $4K | |
| 81003 | <1% | 4,306 | 3,428 | $3K | |
| 82570 | <1% | 1,411 | 1,032 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 19 | 12 | $1K |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 142 | 122 | $127.39 |
| A4215 | Needle, sterile, any size, each | <1% | 236 | 200 | $4.16 |
| A4550 | Surgical trays | 0% | 134 | 105 | $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 officialDREW, KEVIN (PRESIDENT)