MAPLE CITY HEALTH CARE CENTER, INC.
NPI: 1033166095
· GOSHEN, IN 46528
· 261QF0400X
$2.50M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,263 |
$187K |
| 2019 |
6,788 |
$264K |
| 2020 |
3,957 |
$165K |
| 2021 |
12,785 |
$368K |
| 2022 |
19,488 |
$495K |
| 2023 |
29,714 |
$569K |
| 2024 |
13,598 |
$455K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
23,460 |
20,188 |
$1.14M |
| T1015 |
Clinic service |
33,675 |
27,487 |
$587K |
| 90834 |
|
5,709 |
3,197 |
$262K |
| 99214 |
|
2,353 |
2,061 |
$175K |
| 90837 |
|
763 |
470 |
$70K |
| 99391 |
|
950 |
781 |
$61K |
| 99392 |
|
659 |
641 |
$53K |
| 99393 |
|
348 |
337 |
$26K |
| 99394 |
|
198 |
197 |
$15K |
| 99212 |
|
426 |
367 |
$10K |
| 0002A |
|
254 |
248 |
$9K |
| 0001A |
|
255 |
248 |
$9K |
| 87880 |
|
627 |
573 |
$8K |
| 59425 |
|
168 |
121 |
$8K |
| 36415 |
|
2,835 |
2,482 |
$8K |
| 90847 |
|
91 |
57 |
$7K |
| 90686 |
|
3,424 |
3,294 |
$5K |
| 90832 |
|
124 |
93 |
$5K |
| 83036 |
|
936 |
859 |
$4K |
| 0012A |
|
185 |
150 |
$4K |
| 87804 |
|
298 |
263 |
$4K |
| 0072A |
|
97 |
97 |
$3K |
| 0004A |
|
119 |
112 |
$3K |
| 0071A |
|
89 |
88 |
$3K |
| 99204 |
|
87 |
77 |
$3K |
| 0011A |
|
153 |
112 |
$3K |
| 85018 |
|
1,324 |
1,269 |
$3K |
| 90791 |
|
24 |
24 |
$3K |
| 90480 |
|
51 |
45 |
$2K |
| 0054A |
|
88 |
64 |
$1K |
| 90792 |
|
13 |
13 |
$1K |
| 90674 |
|
224 |
197 |
$1K |
| 90688 |
|
78 |
73 |
$1K |
| 90471 |
|
136 |
123 |
$1K |
| 0124A |
|
63 |
33 |
$1K |
| G0467 |
Fqhc visit, estab pt |
39 |
29 |
$1K |
| 90670 |
|
263 |
256 |
$803.59 |
| 81002 |
|
306 |
281 |
$766.71 |
| 86480 |
|
12 |
12 |
$476.75 |
| 92551 |
|
570 |
557 |
$465.18 |
| 99188 |
|
45 |
43 |
$317.21 |
| 90651 |
|
30 |
29 |
$299.07 |
| 87807 |
|
13 |
13 |
$117.28 |
| 0052A |
|
16 |
14 |
$110.70 |
| 90661 |
|
77 |
75 |
$56.63 |
| 90472 |
|
14 |
13 |
$46.92 |
| 91305 |
|
240 |
199 |
$0.00 |
| 3074F |
|
2,088 |
1,827 |
$0.00 |
| 3079F |
|
66 |
55 |
$0.00 |
| 91307 |
|
222 |
209 |
$0.00 |
| 90697 |
|
30 |
30 |
$0.00 |
| 91301 |
|
344 |
266 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 1159F |
|
3,104 |
2,682 |
$0.00 |
| 1160F |
|
3,102 |
2,681 |
$0.00 |
| 91300 |
|
696 |
612 |
$0.00 |
| 91312 |
|
63 |
33 |
$0.00 |
| 3078F |
|
1,880 |
1,652 |
$0.00 |
| 90633 |
|
33 |
28 |
$0.00 |
| 87420 |
|
14 |
12 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |