Physician
Ambucare Clinic
Ambucare Clinic was paid $2.82M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoAMBUCARE CLINIC
TERRE HAUTE, IN 47802
TERRE HAUTE, IN 47802
33aNPI1013907922assigned 10/24/2005
33bProvider typeFamily Medicine Physician
28Total paid$2.82M
24GClaims98,886
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#25 of 408
Median peer was paid$81K
This provider vs. median35×
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 | 25,310 | $150K | |
| 2019 | 22,095 | $335K | |
| 2020 | 15,688 | $306K | |
| 2021 | 13,172 | $612K | |
| 2022 | 10,014 | $645K | |
| 2023 | 7,896 | $486K | |
| 2024incomplete | 4,711 | $286K |
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 | 41% | 21,236 | 18,151 | $1.15M |
| 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 | 26% | 10,169 | 8,654 | $738K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 7,903 | 7,005 | $547K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.7% | 3,281 | 3,043 | $160K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.0% | 2,735 | 2,571 | $86K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.8% | 601 | 564 | $51K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,901 | 1,661 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,049 | 1,665 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,058 | 457 | $14K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 437 | 400 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 289 | 270 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 152 | 140 | $4K |
23 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 297 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 40 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $583.99 |
| 81003 | <1% | 356 | $483.70 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 352 | $368.81 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 221 | $61.64 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 51 | $38.08 |
| 1036F | 0% | 6,994 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,132 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 255 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 109 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 18 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 8,306 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12,231 | $0.00 |
| 4004F | 0% | 4,545 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 15 | $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% | 7,666 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 3,042 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 243 | $0.00 |
| 81002 | 0% | 102 | $0.00 | |
| 4040F | 0% | 40 | $0.00 | |
| 90756 | 0% | 15 | $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 officialSAPPINGTON, STEPHEN (OWNER)