Physician
Cleanslate Medical Group of Indiana LLC
Cleanslate Medical Group of Indiana LLC was paid $79.21M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoCLEANSLATE MEDICAL GROUP OF INDIANA LLC
ALEXANDRIA, IN 46001
ALEXANDRIA, IN 46001
33aNPI1023464294assigned 05/06/2016
33bProvider typeInternal Medicine Physician
28Total paid$79.21M
24GClaims1,385,909
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#4 of 316
Median peer was paid$17K
This provider vs. median4,682×
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 | 71,161 | $298K | |
| 2019 | 175,262 | $4.99M | |
| 2020 | 230,411 | $10.42M | |
| 2021 | 244,175 | $15.73M | |
| 2022 | 239,543 | $18.09M | |
| 2023 | 236,449 | $17.18M | |
| 2024incomplete | 188,908 | $12.51M |
Box 24 · Service lines
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 | 46% | 497,524 | 291,542 | $36.20M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 28% | 428,309 | 253,335 | $22.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 272,533 | 182,358 | $14.04M |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 5.3% | 87,560 | 70,218 | $4.23M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.4% | 9,213 | 7,400 | $1.10M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 12,788 | 9,526 | $598K |
| Q3014 | Telehealth originating site facility fee | <1% | 12,608 | 8,653 | $193K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,482 | 1,359 | $147K |
| 81025 | <1% | 33,005 | 23,443 | $147K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,369 | 4,293 | $145K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 2,165 | 1,467 | $70K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 944 | 812 | $59K |
17 more codes
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 3,068 | $50K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 803 | $47K |
| 86803 | <1% | 3,551 | $36K | |
| 99406 | <1% | 4,976 | $30K | |
| 87340 | <1% | 3,535 | $25K | |
| 99484 | <1% | 1,280 | $18K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 241 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $4K |
| 80076 | <1% | 1,130 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 38 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 19 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 405 | $1K |
| T1016 | Case management, each 15 minutes | <1% | 2,246 | $838.92 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 26 | $446.94 |
| 86704 | <1% | 14 | $168.70 | |
| 86706 | <1% | 12 | $129.66 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $45.00 |
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 officialSMOLAREK, MATTHEW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Total Wellness Centers, LLC | Holyoke, MA | $77.17M |
| Total Wellness Centers, LLC | West Springfield, MA | $38.42M |
| Cleanslate Medical Group of Pennsylvania LLC | Wilkes Barre, PA | $18.61M |
| Cleanslate Medical Group of Wisconsin, SC | Glendale, WI | $17.13M |
| Cleanslate Medical Group of Kentucky PLLC | Louisville, KY | $10.48M |
| Cleanslate Medical Group of Ohio LLC | Moraine, OH | $9.53M |
| Cleanslate Medical Group of Virginia, LLC | Mechanicsville, VA | $4.28M |
| Cleanslate Medical Group of Arizona PLLC | Gilbert, AZ | $955K |
| Cleanslate Medical Group of Arizona PLLC | Phoenix, AZ | $248K |
| Cleanslate Medical Group of Arizona PLLC | Phoenix, AZ | $101K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.