Physician
Shalom Health Care Center, INC.
Shalom Health Care Center, INC. was paid $2.06M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoSHALOM HEALTH CARE CENTER, INC.
INDIANAPOLIS, IN 46254
INDIANAPOLIS, IN 46254
33aNPI1003275512assigned 02/12/2016
33bProvider typePediatrics Physician
28Total paid$2.06M
24GClaims111,836
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#17 of 119
Median peer was paid$395K
This provider vs. median5.2×
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 | 7,566 | $140K | |
| 2019 | 12,318 | $195K | |
| 2020 | 8,136 | $180K | |
| 2021 | 14,364 | $335K | |
| 2022 | 40,294 | $629K | |
| 2023 | 19,598 | $382K | |
| 2024incomplete | 9,560 | $200K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 26,852 | 18,055 | $1.12M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 11% | 36,154 | 21,768 | $232K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10% | 3,634 | 2,571 | $216K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 2,004 | 1,642 | $143K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 917 | 767 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 827 | 675 | $57K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 1,128 | 558 | $33K |
| 59425 | 1.6% | 743 | 293 | $32K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 5,639 | 3,990 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 893 | 647 | $24K |
| 96127 | <1% | 6,499 | 4,432 | $20K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 165 | 112 | $11K |
54 more codes
| 59426 | <1% | 85 | $8K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 125 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,250 | $8K |
| 99383 | <1% | 163 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 153 | $7K |
| 81002 | <1% | 3,978 | $7K | |
| 99382 | <1% | 137 | $6K | |
| 86703 | <1% | 1,487 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 178 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 233 | $4K |
| 76830 | Ultrasound, transvaginal | <1% | 31 | $3K |
| 90686 | <1% | 1,711 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 239 | $3K |
| 83655 | <1% | 288 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 149 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,297 | $2K |
| 36416 | <1% | 1,705 | $2K | |
| 85018 | <1% | 933 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 178 | $1K |
| 81025 | <1% | 172 | $644.05 | |
| 99173 | <1% | 1,365 | $467.69 | |
| 90649 | <1% | 783 | $167.39 | |
| 99408 | <1% | 74 | $103.80 | |
| 99406 | <1% | 90 | $92.20 | |
| 82948 | <1% | 111 | $85.67 | |
| 82270 | <1% | 18 | $63.54 | |
| 87210 | <1% | 14 | $29.10 | |
| 90715 | 0% | 178 | $0.00 | |
| 90734 | 0% | 323 | $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) | 0% | 392 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 402 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 240 | $0.00 |
| 90648 | 0% | 88 | $0.00 | |
| 84439 | 0% | 208 | $0.00 | |
| 90710 | 0% | 95 | $0.00 | |
| 80305 | 0% | 386 | $0.00 | |
| 90633 | 0% | 414 | $0.00 | |
| 90670 | 0% | 109 | $0.00 | |
| 90671 | 0% | 55 | $0.00 | |
| 80061 | Lipid panel | 0% | 309 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 1,243 | $0.00 |
| 85027 | 0% | 121 | $0.00 | |
| 90723 | 0% | 166 | $0.00 | |
| 90647 | 0% | 137 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 195 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 637 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 656 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 554 | $0.00 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 163 | $0.00 |
| 90651 | 0% | 114 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 164 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 33 | $0.00 |
| 97010 | 0% | 16 | $0.00 | |
| 99070 | 0% | 36 | $0.00 |
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 officialORTEGA, LEONARDO (CEO/EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Shalom Health Care Center, INC. | Indianapolis, IN | $4.45M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.