The Health and Hospital Corporation of Marion County
The Health and Hospital Corporation of Marion County was paid $1.11M by Medicaid between Jan 2018 and Oct 2023, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
INDIANAPOLIS, IN 46203
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,862 | $272K | |
| 2019 | 17,591 | $593K | |
| 2020 | 5,600 | $224K | |
| 2021 | 37 | $833.16 | |
| 2022 | 430 | $5K | |
| 2023 | 1,001 | $14K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 6,058 | 5,068 | $269K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 7,624 | 6,127 | $250K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 9.6% | 941 | 751 | $107K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 1,154 | 852 | $85K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 985 | 650 | $72K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 4.6% | 2,011 | 1,704 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 466 | 336 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 5,039 | 3,551 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 656 | 508 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 985 | 777 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 928 | 775 | $21K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 442 | 299 | $18K |
51 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 2,441 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 194 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 167 | $12K |
| D1110 | Prophylaxis - adult | <1% | 380 | $10K |
| 97803 | <1% | 221 | $7K | |
| 97802 | <1% | 197 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,718 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 215 | $7K |
| 90670 | <1% | 964 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 308 | $6K |
| 90674 | <1% | 295 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 228 | $4K |
| D0120 | Dental checkup, returning patient | <1% | 248 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 201 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 182 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 509 | $3K |
| D1120 | Dental cleaning, child | <1% | 127 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 117 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 30 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 35 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 75 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 734 | $1K |
| 11721 | <1% | 157 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 141 | $915.62 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 134 | $692.16 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 125 | $598.20 |
| 90474 | <1% | 149 | $572.58 | |
| D4910 | <1% | 69 | $459.00 | |
| 90686 | <1% | 1,194 | $414.46 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 60 | $295.92 |
| 81002 | <1% | 574 | $255.83 | |
| D4341 | <1% | 26 | $154.74 | |
| 86703 | <1% | 198 | $86.91 | |
| 99441 | <1% | 134 | $50.74 | |
| 80305 | <1% | 44 | $13.86 | |
| 90633 | 0% | 88 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 58 | $0.00 |
| 90715 | 0% | 88 | $0.00 | |
| 90681 | 0% | 150 | $0.00 | |
| 81025 | 0% | 205 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 16 | $0.00 |
| 90710 | 0% | 45 | $0.00 | |
| 99442 | 0% | 18 | $0.00 | |
| 90685 | 0% | 43 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 18 | $0.00 |
| 90723 | 0% | 540 | $0.00 | |
| 90647 | 0% | 522 | $0.00 | |
| 90651 | 0% | 103 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 717 | $0.00 |
| D1330 | 0% | 18 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.