Clinic
Maple City Health Care Center, INC.
Maple City Health Care Center, INC. was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoMAPLE CITY HEALTH CARE CENTER, INC.
GOSHEN, IN 46528
GOSHEN, IN 46528
33aNPI1033166095assigned 05/27/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.50M
24GClaims93,593
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#37 of 156
Median peer was paid$568K
This provider vs. median4.4×
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 | 7,263 | $187K | |
| 2019 | 6,788 | $264K | |
| 2020 | 3,957 | $165K | |
| 2021 | 12,785 | $368K | |
| 2022 | 19,488 | $495K | |
| 2023 | 29,714 | $569K | |
| 2024incomplete | 13,598 | $455K |
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 | 45% | 23,460 | 20,188 | $1.14M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 23% | 33,675 | 27,487 | $587K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 10% | 5,709 | 3,197 | $262K |
| 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 | 7.0% | 2,353 | 2,061 | $175K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.8% | 763 | 470 | $70K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 950 | 781 | $61K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 659 | 641 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 348 | 337 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 198 | 197 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 426 | 367 | $10K |
| 0002A | <1% | 254 | 248 | $9K | |
| 0001A | <1% | 255 | 248 | $9K |
50 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 627 | $8K |
| 59425 | <1% | 168 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,835 | $8K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 91 | $7K |
| 90686 | <1% | 3,424 | $5K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 124 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 936 | $4K |
| 0012A | <1% | 185 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 298 | $4K |
| 0072A | <1% | 97 | $3K | |
| 0004A | <1% | 119 | $3K | |
| 0071A | <1% | 89 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 87 | $3K |
| 0011A | <1% | 153 | $3K | |
| 85018 | <1% | 1,324 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 24 | $3K |
| 90480 | <1% | 51 | $2K | |
| 0054A | <1% | 88 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $1K |
| 90674 | <1% | 224 | $1K | |
| 90688 | <1% | 78 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 136 | $1K |
| 0124A | <1% | 63 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 39 | $1K |
| 90670 | <1% | 263 | $803.59 | |
| 81002 | <1% | 306 | $766.71 | |
| 86480 | <1% | 12 | $476.75 | |
| 92551 | <1% | 570 | $465.18 | |
| 99188 | <1% | 45 | $317.21 | |
| 90651 | <1% | 30 | $299.07 | |
| 87807 | <1% | 13 | $117.28 | |
| 0052A | <1% | 16 | $110.70 | |
| 90661 | <1% | 77 | $56.63 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $46.92 |
| 91305 | 0% | 240 | $0.00 | |
| 3074F | 0% | 2,088 | $0.00 | |
| 3079F | 0% | 66 | $0.00 | |
| 91307 | 0% | 222 | $0.00 | |
| 90697 | 0% | 30 | $0.00 | |
| 91301 | 0% | 344 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 1159F | 0% | 3,104 | $0.00 | |
| 1160F | 0% | 3,102 | $0.00 | |
| 91300 | 0% | 696 | $0.00 | |
| 91312 | 0% | 63 | $0.00 | |
| 3078F | 0% | 1,880 | $0.00 | |
| 90633 | 0% | 33 | $0.00 | |
| 87420 | 0% | 14 | $0.00 | |
| 91322 | 0% | 13 | $0.00 | |
| 90648 | 0% | 16 | $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 officialRUSH, KAREN (DIRECTOR OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Maple City Health Care Center, INC | Goshen, IN | $183K |
| Maple City Health Care Center, INC. | Goshen, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.