Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHALOM HEALTH CARE CENTER, INC.

NPI: 1003275512 · INDIANAPOLIS, IN 46254 · Pediatrics Physician · NPI assigned 02/12/2016

$2.06M
Total Medicaid Paid
111,836
Total Claims
74,454
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialORTEGA, LEONARDO (CEO/EXECUTIVE DIRECTOR)
NPI Enumeration Date02/12/2016

Related Entities

Other providers sharing the same authorized official: ORTEGA, LEONARDO

ProviderCityStateTotal Paid
SHALOM HEALTH CARE CENTER, INC. INDIANAPOLIS IN $4.45M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,566 $140K
2019 12,318 $195K
2020 8,136 $180K
2021 14,364 $335K
2022 40,294 $629K
2023 19,598 $382K
2024 9,560 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,852 18,055 $1.12M
T1015 Clinic visit/encounter, all-inclusive 36,154 21,768 $232K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,634 2,571 $216K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,004 1,642 $143K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 917 767 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 827 675 $57K
90832 Psychotherapy, 30 minutes with patient 1,128 558 $33K
59425 743 293 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,639 3,990 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 893 647 $24K
96127 6,499 4,432 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 165 112 $11K
59426 85 38 $8K
90792 Psychiatric diagnostic evaluation with medical services 125 54 $8K
36415 Collection of venous blood by venipuncture 3,250 2,259 $8K
99383 163 114 $8K
90791 Psychiatric diagnostic evaluation 153 77 $7K
81002 3,978 2,685 $7K
99382 137 118 $6K
86703 1,487 966 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 178 119 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 233 122 $4K
76830 Ultrasound, transvaginal 31 28 $3K
90686 1,711 1,240 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 239 187 $3K
83655 288 241 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 149 142 $2K
83036 Hemoglobin; glycosylated (A1C) 1,297 863 $2K
36416 1,705 1,327 $2K
85018 933 757 $1K
90472 Immunization administration, each additional vaccine (list separately) 178 123 $1K
81025 172 101 $644.05
99173 1,365 1,103 $467.69
90649 783 598 $167.39
99408 74 62 $103.80
99406 90 41 $92.20
82948 111 65 $85.67
82270 18 13 $63.54
87210 14 13 $29.10
90715 178 128 $0.00
90734 323 256 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 392 310 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 402 288 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 240 163 $0.00
90648 88 54 $0.00
84439 208 170 $0.00
90710 95 83 $0.00
80305 386 237 $0.00
90633 414 330 $0.00
90670 109 79 $0.00
90671 55 41 $0.00
80061 Lipid panel 309 249 $0.00
80053 Comprehensive metabolic panel 1,243 943 $0.00
85027 121 107 $0.00
90723 166 101 $0.00
90647 137 101 $0.00
84443 Thyroid stimulating hormone (TSH) 195 158 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 637 452 $0.00
H0049 Alcohol and/or drug screening 656 422 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 554 423 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 163 129 $0.00
90651 114 78 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 164 130 $0.00
87086 Culture, bacterial; quantitative colony count, urine 33 28 $0.00
97010 16 12 $0.00
99070 36 16 $0.00