Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOOD SAMARITAN FAMILY HEALTH CENTER, INC

NPI: 1174031256 · VINCENNES, IN 47591 · Rural Health Clinic/Center · NPI assigned 01/11/2018

$2.78M
Total Medicaid Paid
75,350
Total Claims
61,566
Beneficiaries
34
Codes Billed
2018-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEMMONS, JENNIFER (CEO)
NPI Enumeration Date01/11/2018

Related Entities

Other providers sharing the same authorized official: EMMONS, JENNIFER

ProviderCityStateTotal Paid
GOOD SAMARITAN FAMILY HEALTH CENTER, INC. VINCENNES IN $2.57M
GOOD SAMARITAN FAMILY HEALTH CENTER, INC VINCENNES IN $1.37M
GOOD SAMARITAN FAMILY HEALTH CENTER, INC VINCENNES IN $676K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC WASHINGTON IN $465K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC. PETERSBURG IN $213K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC LOOGOOTEE IN $117K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC VINCENNES IN $23K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC BRUCEVILLE IN $2K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC. VINCENNES IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $352.00
2019 3,157 $103K
2020 5,501 $216K
2021 13,066 $532K
2022 18,387 $603K
2023 19,097 $693K
2024 16,130 $633K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,592 14,725 $1.19M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,283 10,834 $639K
T1015 Clinic visit/encounter, all-inclusive 26,385 21,488 $601K
90834 Psychotherapy, 45 minutes with patient 2,006 1,380 $121K
G0467 Federally 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 2,599 1,789 $43K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 883 781 $20K
90832 Psychotherapy, 30 minutes with patient 427 275 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 657 538 $15K
90791 Psychiatric diagnostic evaluation 122 109 $14K
99215 Prolong outpt/office vis 180 158 $13K
83036 Hemoglobin; glycosylated (A1C) 2,045 1,865 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 153 125 $12K
80305 915 712 $9K
90686 591 460 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 130 115 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 73 65 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 491 230 $7K
96127 1,841 1,576 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 935 727 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 732 637 $6K
36415 Collection of venous blood by venipuncture 900 827 $5K
90688 241 220 $3K
87428 107 103 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 280 260 $3K
90792 Psychiatric diagnostic evaluation with medical services 29 27 $3K
82962 1,344 1,180 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 12 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 25 24 $991.75
J1030 Injection, methylprednisolone acetate, 40 mg 96 88 $637.41
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 20 18 $458.48
81003 120 104 $201.40
99406 20 12 $176.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg 98 90 $43.30
G0008 Administration of influenza virus vaccine 17 12 $0.00