Physician
Good Samaritan Hospital
Good Samaritan Hospital was paid $22K by Medicaid between Oct 2024 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoGOOD SAMARITAN HOSPITAL
VINCENNES, IN 47591
VINCENNES, IN 47591
33aNPI1063005601assigned 02/15/2021
33bProvider typePediatrics Physician
28Total paid$22K
24GClaims852
24DCodes billed12
24AFirst – last monthOct 2024 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#91 of 119
Median peer was paid$395K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 852 | $22K |
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 | 51% | 156 | 141 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 47 | 44 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 30 | 28 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 21 | 19 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.0% | 99 | 96 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 44 | 42 | $986.25 |
| 90474 | 1.0% | 17 | 16 | $223.50 | |
| 90656 | <1% | 38 | 35 | $104.84 | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 342 | 294 | $0.00 |
| 90677 | 0% | 25 | 23 | $0.00 | |
| 90680 | 0% | 18 | 17 | $0.00 | |
| 90697 | 0% | 15 | 14 | $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 officialTHACKER, ADAM (CEO)
Parent organizationGOOD SAMARITAN HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Good Samaritan Hospital | Vincennes, IN | $15.85M |
| Good Samaritan Hospital Physician Services, INC | Vincennes, IN | $9.81M |
| Good Samaritan Hospital | Vincennes, IN | $8.79M |
| Good Samaritan Hospital Physicians Services INC | Vincennes, IN | $3.55M |
| Good Samaritan Hospital | Vincennes, IN | $144K |
| Good Samaritan Hospital | Vincennes, IN | $62K |
| Good Samaritan Hospital | Vincennes, IN | $36K |
| Good Samaritan Hospital | Vincennes, IN | $8K |
| Good Samaritan Hospital | Vincennes, IN | $949.56 |
| Good Samaritan Hospital | Vincennes, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.