Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.

Family Medicine·MUNCIE, IN·NPI: 1235455544Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.1M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.1M

$26,094,710

Total Claims

580K

Beneficiaries

441K

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$996K
+221%
2019
$3.2M
-13%
2020
$2.8M
+38%
2021
$3.8M
+36%
2022
$5.2M
+17%
2023
$6.1M
-33%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 24% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$6.3M

101K claims · 24.3%

Your Cost: $62.98/claim|Median: $53.41
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$5.4M

106K claims · 20.8%

Your Cost: $51.36/claim|Median: $37.81
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.1M

67K claims · 8.2%

Your Cost: $31.86/claim|Median: $23.99
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.0M

21K claims · 3.9%

Your Cost: $49.85/claim|Median: $35.30
1.4× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$984K

10K claims · 3.8%

Your Cost: $94.16/claim|Median: $84.03
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$924K

10K claims · 3.5%

Your Cost: $91.92/claim|Median: $74.09
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$619K

6,692 claims · 2.4%

Your Cost: $92.52/claim|Median: $67.32
1.4× median
59425Normal range

Antepartum care only, 4-6 visits

$563K

7,320 claims · 2.2%

Your Cost: $76.88/claim|Median: $63.63
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$515K

6,292 claims · 2.0%

Your Cost: $81.79/claim|Median: $122.30
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$496K

8,879 claims · 1.9%

Your Cost: $55.85/claim|Median: $36.13
1.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$476K

88K claims · 1.8%

Your Cost: $5.44/claim|Median: $5.60
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$461K

7,757 claims · 1.8%

Your Cost: $59.39/claim|Median: $63.65
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$452K

11K claims · 1.7%

Your Cost: $39.79/claim|Median: $54.68
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$376K

3,371 claims · 1.4%

Your Cost: $111.40/claim|Median: $108.91
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$351K

6,602 claims · 1.3%

Your Cost: $53.24/claim|Median: $43.85
1.2× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$325K

561 claims · 1.2%

Your Cost: $579.84/claim|Median: $470.36
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$267K

3,996 claims · 1.0%

Your Cost: $66.81/claim|Median: $51.25
1.3× median
99291Top 25%

Critical care, first 30-74 minutes

$262K

1,610 claims · 1.0%

Your Cost: $163.01/claim|Median: $101.24
1.6× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$258K

4,141 claims · 1.0%

Your Cost: $62.27/claim|Median: $57.85
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$249K

5,552 claims · 1.0%

Your Cost: $44.77/claim|Median: $58.55
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$236K

2,930 claims · 0.9%

Your Cost: $80.60/claim|Median: $151.68
0.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$212K

2,170 claims · 0.8%

Your Cost: $97.75/claim|Median: $106.79
0.9× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$162K

6,512 claims · 0.6%

Your Cost: $24.95/claim|Median: $16.77
1.5× median
99284Normal range

Emergency dept visit, high complexity

$143K

2,859 claims · 0.5%

Your Cost: $49.90/claim|Median: $69.51
0.7× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$121K

1,275 claims · 0.5%

Your Cost: $94.55/claim|Median: $98.15
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$119K

3,921 claims · 0.5%

Your Cost: $30.44/claim|Median: $25.06
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$117K

1,212 claims · 0.4%

Your Cost: $96.28/claim|Median: $99.21
1.0× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$116K

1,919 claims · 0.4%

Your Cost: $60.33/claim|Median: $37.22
1.6× median
59430Top 25%

$113K

754 claims · 0.4%

Your Cost: $150.43/claim|Median: $80.32
1.9× median
90961Normal range

$111K

2,653 claims · 0.4%

Your Cost: $41.82/claim|Median: $47.22
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$109K

3,361 claims · 0.4%

Your Cost: $32.47/claim|Median: $42.48
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$107K

1,734 claims · 0.4%

Your Cost: $61.80/claim|Median: $85.65
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$95K

1,019 claims · 0.4%

Your Cost: $93.02/claim|Median: $85.66
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$85K

1,025 claims · 0.3%

Your Cost: $83.09/claim|Median: $62.48
1.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$83K

10K claims · 0.3%

Your Cost: $8.29/claim|Median: $9.70
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$76K

688 claims · 0.3%

Your Cost: $109.75/claim|Median: $111.09
1.0× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$75K

481 claims · 0.3%

Your Cost: $156.51/claim|Median: $283.78
0.6× median
95886Normal range

$71K

1,271 claims · 0.3%

Your Cost: $56.20/claim|Median: $67.70
0.8× median
90960Normal range

End-stage renal disease services, per month, age 20+

$69K

1,733 claims · 0.3%

Your Cost: $40.10/claim|Median: $52.76
0.8× median
69436Normal range

Tympanostomy, general anesthesia

$68K

371 claims · 0.3%

Your Cost: $183.41/claim|Median: $205.50
0.9× median
00170Normal range

Anesthesia for intraoral procedures

$67K

362 claims · 0.3%

Your Cost: $184.79/claim|Median: $132.89
1.4× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$65K

1,509 claims · 0.2%

Your Cost: $43.00/claim|Median: $106.14
0.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$63K

661 claims · 0.2%

Your Cost: $95.05/claim|Median: $233.73
0.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$61K

1,320 claims · 0.2%

Your Cost: $46.17/claim|Median: $49.45
0.9× median
90935Normal range

Hemodialysis, one evaluation

$56K

2,934 claims · 0.2%

Your Cost: $18.98/claim|Median: $23.72
0.8× median
95251Top 25%

$56K

2,231 claims · 0.2%

Your Cost: $24.94/claim|Median: $18.02
1.4× median
00731Normal range

$47K

989 claims · 0.2%

Your Cost: $47.74/claim|Median: $64.75
0.7× median
00142Normal range

$46K

1,112 claims · 0.2%

Your Cost: $41.04/claim|Median: $43.11
1.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$42K

695 claims · 0.2%

Your Cost: $60.95/claim|Median: $58.16
1.0× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$40K

508 claims · 0.2%

Your Cost: $79.24/claim|Median: $103.70
0.8× median

Other Top Providers in Indiana

View all →

Bowen Health INC

Psychiatric Hospital

$509.3M

Centerstone of Indiana, Inc.

Community/Behavioral Health

$318.9M

A.w. Holdings LLC

Psychologist Intellectual & Developmental Disabil

$260.2M

Meridian Services

Community/Behavioral Health

$245.2M

The Health and Hospital Corporation of Marion County

Psychiatric Unit

$231.5M

Similar Providers

Other top providers in Family Medicine

Dap Health, Inc.

El Cajon, CA

$270.2M

Adelante Healthcare, Inc.

Phoenix, AZ

$245.9M

Fast Pace Medical Clinic PLLC

Spring Hill, TN

$179.4M

← All providersAll providers in Indiana →How we detect fraud →