NPI: 1174032098 · ELWOOD, IN 46036 · Federally Qualified Health Center (FQHC) · NPI assigned 09/22/2017
Authorized official CROCKETT, TIMOTHY controls 14+ related entities in our dataset. Read more
| Authorized Official | CROCKETT, TIMOTHY (CFO) |
| NPI Enumeration Date | 09/22/2017 |
Other providers sharing the same authorized official: CROCKETT, TIMOTHY
| Provider | City | State | Total Paid |
|---|---|---|---|
| ASPIRE INDIANA INC | NOBLESVILLE | IN | $61.74M |
| ASPIRE INDIANA INC. | NOBLESVILLE | IN | $26.19M |
| ASPIRE INDIANA HEALTH INC. | ANDERSON | IN | $4.91M |
| UNIVERSITY SURGICAL ASSOCIATES, PSC | LOUISVILLE | KY | $1.82M |
| ASPIRE INDIANA HEALTH INC | INDIANAPOLIS | IN | $575K |
| ASPIRE INDIANA HEALTH INC. | NOBLESVILLE | IN | $535K |
| ASPIRE INDIANA HEALTH INC. | CARMEL | IN | $348K |
| ASPIRE INDIANA HEALTH INC. | LEBANON | IN | $343K |
| UNIVERSITY SURGICAL ASSOCIATES, PSC | LOUISVILLE | KY | $307K |
| ASPIRE INDIANA HEALTH INC. | INDIANAPOLIS | IN | $278K |
| ASPIRE INDIANA HEALTH INC. | ANDERSON | IN | $274K |
| ASPIRE INDIANA HEALTH INC. | ANDERSON | IN | $258K |
| UNIVERSITY SURGICAL ASSOCIATES, PSC | LOUISVILLE | KY | $42K |
| ASPIRE INDIANA HEALTH INC. | FAIRMOUNT | IN | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,258 | $40K |
| 2022 | 1,602 | $39K |
| 2023 | 638 | $15K |
| 2024 | 1,623 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,531 | 1,162 | $95K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 307 | 194 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 214 | 167 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 55 | 50 | $3K |
| 80305 | 59 | 54 | $627.48 | |
| 36415 | Collection of venous blood by venipuncture | 77 | 69 | $585.62 |
| T1015 | Clinic visit/encounter, all-inclusive | 2,840 | 2,113 | $267.75 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 19 | 19 | $0.00 |
| 99490 | Ccm add 20min | 19 | 19 | $0.00 |