Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

The Health and Hospital Corporation of Marion County

The Health and Hospital Corporation of Marion County was paid $1.72M by Medicaid between Apr 2024 and Nov 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 28% of everything it billed.

33Billing provider infoTHE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
INDIANAPOLIS, IN 46226
33aNPI1053181271assigned 01/08/2024
28Total paid$1.72M
24GClaims53,574
24DCodes billed56
24AFirst – last monthApr 2024 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Indiana

Rank by total paid#49 of 156
Median peer was paid$568K
This provider vs. median3.0×

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.

Entity ProliferationAuthorized official SCOTT, CHRISTOPHER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete53,574$1.72M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 28% 23,198 15,156 $484K
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% 6,335 4,292 $372K
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 17% 4,505 3,032 $297K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.9% 1,117 721 $100K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.1% 937 611 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.3% 632 447 $56K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.6% 4,189 2,895 $45K
90472 Immunization administration, each additional vaccine (list separately) 2.5% 2,055 1,405 $44K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.4% 351 241 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 964 633 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 345 236 $30K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.6% 363 285 $27K
44 more codes
90792 Psychiatric diagnostic evaluation with medical services <1% 117 $16K
90791 Psychiatric diagnostic evaluation <1% 116 $12K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 266 $9K
11721 <1% 535 $8K
36415 Collection of venous blood by venipuncture <1% 1,168 $8K
90834 Psychotherapy session, about 45 minutes <1% 120 $8K
90832 Psychotherapy session, about 30 minutes <1% 183 $7K
59425 <1% 165 $7K
90837 Psychotherapy session, about an hour <1% 70 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 508 $6K
92015 Determination of refractive state <1% 431 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 807 $4K
90677 <1% 596 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 36 $3K
90480 <1% 146 $3K
11056 <1% 59 $2K
90474 <1% 109 $2K
G0467 Community health center visit, returning patient <1% 272 $2K
98940 <1% 44 $862.12
81002 <1% 375 $711.25
90651 <1% 185 $602.24
92250 <1% 27 $578.32
99381 <1% 17 $513.80
81025 <1% 73 $471.07
99188 <1% 64 $433.63
99417 Prolong home eval add 15m <1% 15 $315.00
90715 <1% 51 $312.76
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening <1% 23 $292.08
99173 <1% 121 $218.08
96161 <1% 320 $200.07
96127 <1% 44 $166.80
90661 <1% 12 $133.12
99177 <1% 17 $62.55
90686 <1% 142 $39.86
90656 <1% 322 $19.93
90734 0% 86 $0.00
90681 0% 109 $0.00
90710 0% 131 $0.00
90653 0% 31 $0.00
90633 0% 261 $0.00
91320 0% 22 $0.00
90620 0% 52 $0.00
90697 0% 287 $0.00
G0008 Administration of influenza virus vaccine 0% 48 $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 officialSCOTT, CHRISTOPHER (CHIEF CLINICAL OPERATING OFFICER)
Same official

Other billing entities under SCOTT, CHRISTOPHER

Full network →
ProviderLocationPaid
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$231.53M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$46.97M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$30.19M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$17.31M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$16.60M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$15.58M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$8.91M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$8.44M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$6.85M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$6.79M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$5.03M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$3.25M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$2.70M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$1.11M
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$873K
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$475K
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$309K
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$266K
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$211K
The Health and Hospital Corporation of Marion CountyIndianapolis, IN$178K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.