Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › PAOLI › INDIANA UNIVERSITY HEALTH PAOLI INC

INDIANA UNIVERSITY HEALTH PAOLI INC

NPI: 1912984451 · PAOLI, IN 47454 · Critical Access Hospital · NPI assigned 12/27/2005

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

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

$4.44M
Total Medicaid Paid
102,811
Total Claims
86,308
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCRAIG, MICHAEL (CFO)
NPI Enumeration Date12/27/2005

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 BLOOMINGTON INC BLOOMINGTON IN $1.49M
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
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC BLOOMINGTON IN $0.00
BLOOMINGTON ENDOSCOPY CENTER, LLC BLOOMINGTON IN $0.00
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC BLOOMINGTON IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,818 $360K
2019 12,192 $465K
2020 10,530 $452K
2021 18,332 $803K
2022 22,476 $1.02M
2023 13,761 $786K
2024 7,702 $556K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 10,177 9,376 $1.43M
99284 Emergency department visit for the evaluation and management, high severity 6,072 5,405 $781K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,812 5,713 $696K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,716 3,193 $211K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,490 3,720 $206K
71045 Radiologic examination, chest; single view 2,233 1,856 $206K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,830 1,583 $195K
71046 Radiologic examination, chest; 2 views 835 744 $78K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,988 10,910 $59K
80053 Comprehensive metabolic panel 9,723 8,236 $56K
36415 Collection of venous blood by venipuncture 13,380 10,652 $50K
96361 Intravenous infusion, hydration; each additional hour 1,531 1,274 $43K
74177 Computed tomography, abdomen and pelvis; with contrast material 100 97 $37K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 476 433 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 268 255 $32K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 414 394 $30K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 823 708 $29K
80050 General health panel 242 222 $29K
99282 Emergency department visit for the evaluation and management, low to moderate severity 145 138 $25K
84484 3,654 2,567 $21K
83605 3,408 2,590 $20K
99201 131 122 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 100 92 $12K
83880 834 647 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 382 357 $12K
11721 232 160 $12K
87503 414 394 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 407 326 $9K
11056 34 31 $8K
80061 Lipid panel 911 814 $7K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 85 77 $6K
96375 Therapeutic injection; each additional sequential IV push 1,418 1,138 $6K
80048 Basic metabolic panel (calcium, ionized) 1,725 1,383 $5K
81003 3,021 2,328 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 157 133 $5K
83036 Hemoglobin; glycosylated (A1C) 813 745 $5K
70450 Computed tomography, head or brain; without contrast material 40 38 $5K
81001 2,313 2,007 $5K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 296 267 $3K
82800 481 403 $3K
85379 407 321 $2K
83690 505 436 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 110 91 $2K
87276 326 281 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 172 132 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 123 122 $2K
87275 326 281 $2K
82043 398 364 $2K
82570 425 389 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 162 152 $1K
81025 278 257 $1K
85027 716 641 $1K
84443 Thyroid stimulating hormone (TSH) 104 101 $1K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 17 14 $1K
87040 318 142 $996.31
83735 316 269 $960.88
82803 119 70 $952.07
87086 Culture, bacterial; quantitative colony count, urine 309 264 $757.70
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $729.44
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 63 62 $461.40
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 30 29 $385.25
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 20 12 $357.78
86803 40 38 $352.91
85610 158 112 $283.73
80076 28 27 $213.34
85730 53 39 $141.45
G0127 Trimming of dystrophic nails, any number 19 15 $130.80
82550 13 13 $27.73
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 47 24 $25.90
82948 16 13 $8.42
J1885 Injection, ketorolac tromethamine, per 15 mg 57 44 $0.00