The Health and Hospital Corporation of Marion County
The Health and Hospital Corporation of Marion County was paid $30.19M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 32% of everything it billed.
INDIANAPOLIS, IN 46202
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) 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 | |
|---|---|---|---|
| 2018 | 111,926 | $1.99M | |
| 2019 | 110,911 | $3.85M | |
| 2020 | 113,264 | $5.07M | |
| 2021 | 96,062 | $4.37M | |
| 2022 | 95,792 | $5.19M | |
| 2023 | 100,744 | $5.97M | |
| 2024incomplete | 64,859 | $3.75M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 32% | 105,288 | 60,629 | $9.62M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 65,795 | 44,551 | $3.98M |
| 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 | 12% | 54,657 | 45,652 | $3.67M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 7.2% | 22,433 | 19,139 | $2.17M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.7% | 38,223 | 27,890 | $1.71M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 26,034 | 8,034 | $1.24M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.1% | 199,221 | 119,981 | $1.24M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 4.0% | 15,907 | 11,323 | $1.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 23,136 | 19,154 | $875K |
| H2011 | Crisis intervention service, per 15 minutes | 2.3% | 9,167 | 7,735 | $683K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.0% | 4,913 | 4,028 | $597K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.2% | 3,971 | 2,939 | $370K |
81 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.2% | 28,992 | $353K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 5,005 | $272K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 11,720 | $266K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 3,558 | $253K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,877 | $238K |
| 90785 | <1% | 17,636 | $223K | |
| 90839 | <1% | 2,974 | $189K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 5,753 | $188K |
| 99349 | <1% | 5,269 | $99K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,572 | $99K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,305 | $57K |
| 92015 | Determination of refractive state | <1% | 5,426 | $56K |
| 99220 | <1% | 375 | $49K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,045 | $46K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,282 | $39K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 748 | $32K |
| 99348 | <1% | 2,072 | $31K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,030 | $31K |
| 99217 | <1% | 809 | $27K | |
| 99218 | <1% | 406 | $23K | |
| 99223 | Prolong inpt eval add15 m | <1% | 344 | $21K |
| 99225 | <1% | 560 | $19K | |
| 99460 | <1% | 162 | $17K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 238 | $16K |
| J1631 | Injection, haloperidol decanoate, per 50 mg | <1% | 468 | $15K |
| 99219 | <1% | 270 | $12K | |
| 99442 | <1% | 1,832 | $11K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 991 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 82 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 113 | $10K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 997 | $8K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 102 | $8K |
| 86703 | <1% | 900 | $7K | |
| V2020 | Frames, purchases | <1% | 346 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 476 | $7K |
| 81025 | <1% | 1,189 | $6K | |
| 96132 | <1% | 281 | $6K | |
| 99443 | <1% | 595 | $5K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 101 | $5K |
| 99221 | <1% | 65 | $5K | |
| 99224 | <1% | 293 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 50 | $4K |
| 99350 | Prolong home eval add 15m | <1% | 143 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,104 | $3K |
| Q0112 | All potassium hydroxide (koh) preparations | <1% | 678 | $3K |
| 36416 | <1% | 850 | $3K | |
| 99335 | <1% | 164 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 55 | $2K |
| 99441 | <1% | 495 | $2K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 65 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $1K |
| 99462 | <1% | 17 | $1K | |
| 96133 | <1% | 28 | $777.43 | |
| 99347 | <1% | 40 | $647.79 | |
| 99334 | <1% | 53 | $599.06 | |
| 81002 | <1% | 253 | $558.56 | |
| 92133 | <1% | 51 | $526.21 | |
| 80305 | <1% | 105 | $316.38 | |
| 90694 | <1% | 55 | $304.63 | |
| 90682 | <1% | 171 | $289.10 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | $286.44 |
| 11055 | <1% | 40 | $242.84 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 836 | $217.85 |
| 11720 | <1% | 45 | $168.87 | |
| 11721 | <1% | 42 | $128.69 | |
| 99490 | Ccm add 20min | <1% | 1,184 | $119.87 |
| 90840 | <1% | 14 | $110.53 | |
| 99283 | Emergency room visit (moderate) | <1% | 13 | $96.26 |
| G0127 | Trimming of dystrophic nails, any number | <1% | 67 | $81.40 |
| 83026 | <1% | 38 | $78.77 | |
| 69210 | <1% | 17 | $51.68 | |
| T1016 | Case management, each 15 minutes | <1% | 537 | $39.83 |
| H2014 | Skills training and development, per 15 minutes | 0% | 590 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 27 | $0.00 |
| 99401 | 0% | 77 | $0.00 | |
| G2252 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | 0% | 102 | $0.00 |
| 0004A | 0% | 16 | $0.00 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 78 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 137 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 226 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 51 | $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.