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Community Physicians of Indiana INC

Internal Medicine·Indianapolis, IN·NPI: 1619105244Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $185.3M is at the 90th percentile among 26 Internal Medicine providers.

Above 90th percentile for this specialty — higher spending than 23 of 26 peers

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$185.3M

$185,264,697

Total Claims

4.5M

Beneficiaries

3.6M

1.2 claims/patient

Avg Cost/Claim

$41

#512 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Community Physicians of Indiana INC is a Internal Medicine provider based in Indianapolis, IN. From the 2018–2024 period, this provider received $185.3M in Medicaid payments across 4.5M claims.

Why This Matters

This provider received $185.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 23,158 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 243% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$9.5M
+114%
2019
$20.3M
-12%
2020
$17.8M
+76%
2021
$31.3M
+10%
2022
$34.5M
+14%
2023
$39.3M
-17%
2024
$32.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 24% of total spending.

99213Normal range

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

$44.6M

888K claims · 24.1%

Your Cost: $50.24/claim|Median: $37.81
1.3× median
99214Normal range

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

$42.6M

645K claims · 23.0%

Your Cost: $65.99/claim|Median: $53.41
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$13.4M

358K claims · 7.2%

Your Cost: $37.42/claim|Median: $23.99
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$6.9M

85K claims · 3.7%

Your Cost: $81.51/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$5.9M

68K claims · 3.2%

Your Cost: $87.42/claim|Median: $75.18
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$5.5M

54K claims · 3.0%

Your Cost: $102.71/claim|Median: $67.32
1.5× median
99203Normal range

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

$5.1M

80K claims · 2.7%

Your Cost: $63.41/claim|Median: $57.85
1.1× median
99204Normal range

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

$5.1M

59K claims · 2.7%

Your Cost: $86.70/claim|Median: $84.03
1.0× median
59426Normal range

Antepartum care only, high risk, additional visits

$5.0M

72K claims · 2.7%

Your Cost: $69.06/claim|Median: $122.30
0.6× median
59425Normal range

Antepartum care only, 4-6 visits

$3.5M

55K claims · 1.9%

Your Cost: $62.92/claim|Median: $63.63
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.1M

69K claims · 1.7%

Your Cost: $45.23/claim|Median: $35.30
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$2.7M

36K claims · 1.4%

Your Cost: $73.29/claim|Median: $51.25
1.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2.6M

77K claims · 1.4%

Your Cost: $33.28/claim|Median: $30.04
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$2.3M

216K claims · 1.3%

Your Cost: $10.81/claim|Median: $9.80
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2.3M

27K claims · 1.3%

Your Cost: $87.08/claim|Median: $74.82
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$2.1M

41K claims · 1.1%

Your Cost: $50.86/claim|Median: $43.85
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$2.0M

44K claims · 1.1%

Your Cost: $45.57/claim|Median: $37.22
1.2× median
90472Normal range

Immunization administration, each additional vaccine

$2.0M

103K claims · 1.1%

Your Cost: $18.87/claim|Median: $11.79
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$1.5M

19K claims · 0.8%

Your Cost: $80.79/claim|Median: $74.09
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.5M

20K claims · 0.8%

Your Cost: $72.51/claim|Median: $58.55
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.3M

39K claims · 0.7%

Your Cost: $33.94/claim|Median: $54.68
0.6× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$1.2M

40K claims · 0.6%

Your Cost: $30.40/claim|Median: $39.63
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$1.1M

37K claims · 0.6%

Your Cost: $30.15/claim|Median: $25.06
1.2× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$1.1M

7K claims · 0.6%

Your Cost: $165.77/claim|Median: $283.78
0.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$901K

8K claims · 0.5%

Your Cost: $118.77/claim|Median: $106.79
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$770K

9K claims · 0.4%

Your Cost: $84.77/claim|Median: $151.68
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$722K

12K claims · 0.4%

Your Cost: $62.31/claim|Median: $62.48
1.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$709K

21K claims · 0.4%

Your Cost: $33.27/claim|Median: $36.13
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$678K

33K claims · 0.4%

Your Cost: $20.55/claim|Median: $16.77
1.2× median
99309Normal range

Nursing facility care, subsequent, low complexity

$559K

27K claims · 0.3%

Your Cost: $20.43/claim|Median: $14.00
1.5× median

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