Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mark S. Souder, M.D.

Mark S. Souder, M.D. was paid $310K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoMARK S. SOUDER, M.D.
AUBURN, IN 46706
33aNPI1922287531assigned 10/31/2007
28Total paid$310K
24GClaims11,954
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Indiana

Rank by total paid#125 of 408
Median peer was paid$81K
This provider vs. median3.8×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018246$4K
2019855$18K
20201,650$30K
20212,054$61K
20222,218$62K
20232,872$76K
2024incomplete2,059$60K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 65% 3,261 2,525 $200K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 2,558 2,015 $110K
3074F 0% 1,376 1,129 $0.00
3080F 0% 175 146 $0.00
3079F 0% 642 538 $0.00
3075F 0% 126 109 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 101 81 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 17 12 $0.00
G2181 Bmi not documented due to medical reason or patient refusal of height or weight measurement 0% 23 14 $0.00
1159F 0% 218 173 $0.00
3078F 0% 892 718 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,043 1,625 $0.00
3 more codes
3077F 0% 288 $0.00
1160F 0% 216 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 18 $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 officialSOUDER, MARK (OWNER)