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Indiana University Health Care Associates, INC

Physician Assistant·Indianapolis, IN·NPI: 1902032832Share

Compared to Physician Assistant Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $125.3M is at the 99th percentile among 5 Physician Assistant providers.

Above 99th percentile for this specialty — higher spending than 4 of 5 peers

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

Total Paid

$125.3M

$125,339,296

Total Claims

1.6M

Beneficiaries

1.4M

1.2 claims/patient

Avg Cost/Claim

$77

#942 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Indiana University Health Care Associates, INC is a Physician Assistant provider based in Indianapolis, IN. From the 2018–2024 period, this provider received $125.3M in Medicaid payments across 1.6M claims.

Why This Matters

This provider received $125.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,667 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 238% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$5.7M
+120%
2019
$12.5M
-0%
2020
$12.5M
+50%
2021
$18.6M
+47%
2022
$27.4M
+7%
2023
$29.3M
-34%
2024
$19.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 33% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$41.1M

315K claims · 32.8%

Your Cost: $130.46/claim|Median: $85.65
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$29.9M

297K claims · 23.9%

Your Cost: $100.85/claim|Median: $69.51
1.4× median
99283Normal range

Emergency dept visit, moderate complexity

$16.9M

274K claims · 13.5%

Your Cost: $61.76/claim|Median: $42.48
1.4× median
99214Top 25%

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

$10.0M

121K claims · 8.0%

Your Cost: $82.54/claim|Median: $53.41
1.6× median
99213Top 25%

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

$9.1M

129K claims · 7.3%

Your Cost: $70.75/claim|Median: $37.81
1.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.0M

50K claims · 1.6%

Your Cost: $39.53/claim|Median: $23.99
1.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

18K claims · 1.2%

Your Cost: $80.70/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

15K claims · 1.1%

Your Cost: $87.23/claim|Median: $75.18
1.2× median
99204Top 25%

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

$1.2M

11K claims · 1.0%

Your Cost: $111.88/claim|Median: $84.03
1.3× median
90471Top 25%

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

$902K

52K claims · 0.7%

Your Cost: $17.21/claim|Median: $9.80
1.8× median
59426Normal range

Antepartum care only, high risk, additional visits

$878K

10K claims · 0.7%

Your Cost: $89.80/claim|Median: $122.30
0.7× median
99203Normal range

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

$785K

11K claims · 0.6%

Your Cost: $68.93/claim|Median: $57.85
1.2× median
99291Top 25%

Critical care, first 30-74 minutes

$723K

4K claims · 0.6%

Your Cost: $174.99/claim|Median: $101.24
1.7× median
90472Top 25%

Immunization administration, each additional vaccine

$694K

27K claims · 0.6%

Your Cost: $26.04/claim|Median: $11.79
2.2× median
59425Normal range

Antepartum care only, 4-6 visits

$687K

9K claims · 0.5%

Your Cost: $74.91/claim|Median: $63.63
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$576K

5K claims · 0.5%

Your Cost: $115.89/claim|Median: $108.91
1.1× median
G0108Top 25%

Diabetes self-management training, individual

$576K

8K claims · 0.5%

Your Cost: $72.86/claim|Median: $35.89
2.0× median
99215Top 25%

Office/outpatient visit, high complexity

$504K

4K claims · 0.4%

Your Cost: $115.48/claim|Median: $74.09
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$486K

7K claims · 0.4%

Your Cost: $66.20/claim|Median: $35.30
1.9× median
90791Normal range

Psychiatric diagnostic evaluation

$473K

6K claims · 0.4%

Your Cost: $82.96/claim|Median: $99.21
0.8× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$454K

4K claims · 0.4%

Your Cost: $121.48/claim|Median: $233.73
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$387K

5K claims · 0.3%

Your Cost: $85.40/claim|Median: $74.82
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$375K

5K claims · 0.3%

Your Cost: $69.59/claim|Median: $51.25
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$297K

4K claims · 0.2%

Your Cost: $78.16/claim|Median: $85.66
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$283K

3K claims · 0.2%

Your Cost: $88.80/claim|Median: $67.32
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$278K

7K claims · 0.2%

Your Cost: $37.44/claim|Median: $63.65
0.6× median
00170Top 25%

Anesthesia for intraoral procedures

$226K

1K claims · 0.2%

Your Cost: $213.53/claim|Median: $132.89
1.6× median
90870Normal range

$217K

3K claims · 0.2%

Your Cost: $76.26/claim|Median: $68.07
1.1× median
97802Top 10%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$217K

2K claims · 0.2%

Your Cost: $93.91/claim|Median: $12.70
7.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$192K

1K claims · 0.2%

Your Cost: $139.66/claim|Median: $111.09
1.3× median

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