Physician
Innovative Hospital Care, LLC
Innovative Hospital Care, LLC was paid $79K by Medicaid between Jan 2018 and Jun 2019, across 14 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 64% of everything it billed.
33Billing provider infoINNOVATIVE HOSPITAL CARE, LLC
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
33aNPI1922374172assigned 03/31/2012
33bProvider typeHospitalist Physician
28Total paid$79K
24GClaims7,168
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Hospitalist Physician providers in Indiana
Rank by total paid#10 of 35
Median peer was paid$10K
This provider vs. median7.8×
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
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 | 6,671 | $62K | |
| 2019 | 497 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 64% | 4,860 | 1,708 | $51K |
| 99223 | Prolong inpt eval add15 m | 21% | 719 | 632 | $17K |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.3% | 524 | 448 | $5K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.3% | 59 | 57 | $3K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.8% | 25 | 25 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 241 | 213 | $668.00 |
| 99220 | <1% | 36 | 28 | $134.37 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 244 | 155 | $75.37 |
| 1124F | 0% | 229 | 156 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 97 | 87 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 17 | 16 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 14 | 13 | $0.00 |
2 more codes
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 officialGILBERT, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Spine and Brain Neurosurgical Care | Lexington, KY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.