Clinic
Indiana Health Centers, INC.
Indiana Health Centers, INC. was paid $1.23M by Medicaid between Jan 2018 and May 2022, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoINDIANA HEALTH CENTERS, INC.
SEYMOUR, IN 47274
SEYMOUR, IN 47274
33aNPI1134227689assigned 09/20/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.23M
24GClaims42,776
24DCodes billed37
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#58 of 156
Median peer was paid$568K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2018 | 6,478 | $102K | |
| 2019 | 9,302 | $314K | |
| 2020 | 8,339 | $278K | |
| 2021 | 16,193 | $471K | |
| 2022 | 2,464 | $65K |
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 | 33% | 12,108 | 10,220 | $412K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 18% | 6,246 | 4,617 | $225K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.7% | 2,797 | 1,310 | $119K |
| 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 | 8.3% | 1,878 | 1,592 | $102K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 5.2% | 2,525 | 2,022 | $65K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.6% | 1,462 | 853 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 1,188 | 1,076 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 1,163 | 1,017 | $23K |
| D1110 | Prophylaxis - adult | 1.8% | 493 | 420 | $22K |
| D1354 | 1.4% | 178 | 42 | $17K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 859 | 805 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 509 | 449 | $15K |
25 more codes
| D1206 | Topical application of fluoride varnish | 1.2% | 702 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 1,469 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 176 | $12K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 129 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 350 | $9K |
| 59425 | <1% | 143 | $9K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 287 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,439 | $8K |
| 80061 | Lipid panel | <1% | 1,274 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 107 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 66 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 194 | $5K |
| 90686 | <1% | 799 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,161 | $5K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 1,345 | $4K |
| D0330 | Panoramic radiographic image | <1% | 66 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 48 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 70 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $923.13 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 110 | $875.96 |
| 97803 | <1% | 219 | $841.56 | |
| 36416 | <1% | 137 | $204.74 | |
| 81003 | <1% | 13 | $2.25 | |
| 90670 | 0% | 13 | $0.00 | |
| D0603 | 0% | 39 | $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 officialDRAKE, TERRANCE (CHIEF MEDICAL OFFICER (CMO))