The Health and Hospital Corporation of Marion County
The Health and Hospital Corporation of Marion County was paid $15.58M by Medicaid between Jun 2019 and Dec 2024, across 126 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
INDIANAPOLIS, IN 46254
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 42,278 | $1.21M | |
| 2020 | 63,998 | $2.05M | |
| 2021 | 103,769 | $3.04M | |
| 2022 | 124,153 | $3.37M | |
| 2023 | 109,909 | $3.36M | |
| 2024incomplete | 77,666 | $2.56M |
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 | 22% | 57,061 | 45,625 | $3.47M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 22% | 138,910 | 109,518 | $3.36M |
| 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 | 10.0% | 20,547 | 16,864 | $1.55M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 18,274 | 15,189 | $1.53M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 17,554 | 14,438 | $1.32M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.9% | 60,245 | 46,191 | $766K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.7% | 33,311 | 26,266 | $732K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 5,291 | 4,280 | $434K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 9,191 | 7,450 | $338K |
| 59425 | 2.0% | 4,179 | 2,705 | $310K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 2,018 | 1,571 | $162K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,885 | 2,864 | $149K |
114 more codes
| D0330 | Panoramic radiographic image | <1% | 1,907 | $87K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,210 | $82K |
| 99381 | <1% | 1,460 | $72K | |
| D1120 | Dental cleaning, child | <1% | 2,473 | $63K |
| 99383 | <1% | 652 | $58K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 6,423 | $57K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 847 | $53K |
| 90474 | <1% | 4,220 | $53K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 978 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,851 | $49K |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,104 | $47K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,683 | $44K |
| 90674 | <1% | 4,958 | $43K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,666 | $42K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 852 | $40K |
| 99382 | <1% | 417 | $36K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,264 | $35K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 652 | $35K |
| 90837 | Psychotherapy session, about an hour | <1% | 416 | $34K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 423 | $33K |
| 97802 | <1% | 795 | $29K | |
| D0120 | Dental checkup, returning patient | <1% | 1,393 | $24K |
| 90480 | <1% | 2,150 | $24K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,966 | $21K |
| 96127 | <1% | 3,786 | $20K | |
| 81002 | <1% | 7,493 | $19K | |
| 81025 | <1% | 2,693 | $19K | |
| D1110 | Prophylaxis - adult | <1% | 511 | $17K |
| 0012A | <1% | 502 | $16K | |
| 0011A | <1% | 505 | $15K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 892 | $15K |
| 59426 | <1% | 195 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 133 | $14K |
| D0274 | Bitewings - four radiographic images | <1% | 684 | $14K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 432 | $13K |
| 99384 | <1% | 144 | $12K | |
| 97803 | <1% | 479 | $12K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 575 | $11K |
| G0467 | Community health center visit, returning patient | <1% | 486 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 424 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 738 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 64 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 517 | $6K |
| 0124A | <1% | 271 | $5K | |
| 11721 | <1% | 446 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 72 | $4K |
| 0072A | <1% | 112 | $4K | |
| 20552 | <1% | 121 | $4K | |
| 99188 | <1% | 467 | $4K | |
| 0002A | <1% | 108 | $4K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 132 | $4K |
| 76830 | Ultrasound, transvaginal | <1% | 48 | $4K |
| 90651 | <1% | 910 | $4K | |
| 0001A | <1% | 107 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 58 | $3K |
| 90715 | <1% | 157 | $3K | |
| 0071A | <1% | 86 | $3K | |
| 0081A | <1% | 89 | $3K | |
| 0031A | <1% | 84 | $3K | |
| 90670 | <1% | 11,189 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 37 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 53 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 498 | $2K |
| D4346 | <1% | 21 | $2K | |
| 87428 | <1% | 47 | $2K | |
| 90686 | <1% | 19,055 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 19 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 27 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 133 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 55 | $1K |
| 98940 | <1% | 54 | $1K | |
| 99201 | <1% | 42 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $1K |
| 96160 | <1% | 720 | $1K | |
| 0082A | <1% | 25 | $922.50 | |
| 90620 | <1% | 71 | $875.46 | |
| 59025 | Fetal non-stress test | <1% | 16 | $634.64 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 24 | $575.30 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $540.42 |
| 0154A | <1% | 13 | $506.35 | |
| 0164A | <1% | 13 | $467.40 | |
| 90661 | <1% | 566 | $456.95 | |
| 99417 | Prolong home eval add 15m | <1% | 43 | $451.50 |
| 20610 | <1% | 20 | $392.37 | |
| 99401 | <1% | 21 | $390.65 | |
| 90716 | <1% | 837 | $383.64 | |
| 86703 | <1% | 37 | $364.45 | |
| 96161 | <1% | 577 | $336.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $317.12 |
| 90677 | <1% | 974 | $273.85 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | $223.80 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 28 | $218.14 |
| 73560 | <1% | 26 | $183.88 | |
| 90734 | <1% | 405 | $102.50 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 16 | $50.12 |
| 36416 | <1% | 17 | $31.68 | |
| 90647 | <1% | 7,043 | $0.41 | |
| 90710 | 0% | 293 | $0.00 | |
| 90633 | 0% | 5,420 | $0.00 | |
| 90681 | 0% | 4,345 | $0.00 | |
| 91320 | 0% | 189 | $0.00 | |
| 90707 | 0% | 604 | $0.00 | |
| 90700 | 0% | 397 | $0.00 | |
| 99442 | 0% | 29 | $0.00 | |
| 90697 | 0% | 2,478 | $0.00 | |
| 90723 | 0% | 7,518 | $0.00 | |
| 91301 | 0% | 505 | $0.00 | |
| 90656 | 0% | 75 | $0.00 | |
| 90698 | 0% | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 90696 | 0% | 200 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 12 | $0.00 |
| 91303 | 0% | 23 | $0.00 | |
| 99441 | 0% | 110 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.