Medicaid Provider Spending

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

SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.

NPI: 1023642576 · HAMMOND, IN 46323 · Federally Qualified Health Center (FQHC) · NPI assigned 02/24/2020

$118K
Total Medicaid Paid
3,932
Total Claims
3,032
Beneficiaries
9
Codes Billed
2020-04
First Month
2022-07
Last Month

Provider Details

Authorized OfficialSIKORA, JUDITH (CFO)
NPI Enumeration Date02/24/2020

Related Entities

Other providers sharing the same authorized official: SIKORA, JUDITH

ProviderCityStateTotal Paid
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC MERRILLVILLE IN $4.46M
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC MERRILLVILLE IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 772 $27K
2021 1,993 $61K
2022 1,167 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,690 1,310 $86K
T1015 Clinic visit/encounter, all-inclusive 1,287 947 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 148 102 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 167 138 $5K
36415 Collection of venous blood by venipuncture 520 433 $1K
90674 24 21 $445.39
83036 Hemoglobin; glycosylated (A1C) 51 43 $331.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 23 $189.42
83037 17 15 $123.18