GOOD SAMARITAN FAMILY HEALTH CENTER, INC
NPI: 1124736715
· LOOGOOTEE, IN 47553
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 11/11/2022
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | EMMONS, JENNIFER (CEO) |
| Parent Organization | - |
| NPI Enumeration Date | 11/11/2022 |
Related Entities
Other providers sharing the same authorized official: EMMONS, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,546 |
$44K |
| 2024 |
1,968 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
830 |
729 |
$49K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,595 |
1,122 |
$44K |
| 90834 |
Psychotherapy, 45 minutes with patient |
572 |
356 |
$20K |
| 90832 |
Psychotherapy, 30 minutes with patient |
78 |
58 |
$2K |
| 96127 |
|
404 |
371 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
35 |
14 |
$473.05 |