Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › INDIANAPOLIS › FRANCISCAN PHYSICIAN NETWORK

FRANCISCAN PHYSICIAN NETWORK

NPI: 1225327984 · INDIANAPOLIS, IN 46237 · Internal Medicine Physician · NPI assigned 04/04/2011

$105.95M
Total Medicaid Paid
3,288,272
Total Claims
2,509,529
Beneficiaries
373
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHALEN, DONNA (DIRECTOR)
NPI Enumeration Date04/04/2011

Related Entities

Other providers sharing the same authorized official: PHALEN, DONNA

ProviderCityStateTotal Paid
FRANCISCAN PHYSICIAN NETWORK MISHAWAKA IN $16.17M
FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE INDIANAPOLIS IN $6.79M
INDIANA BLOOD AND MARROW TRANSPLANTATION LLC INDIANAPOLIS IN $55K
GLHS ANESTHESIA GROUP LAFAYETTE IN $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 522,978 $7.74M
2019 421,189 $16.85M
2020 336,291 $12.61M
2021 375,802 $17.18M
2022 382,953 $17.91M
2023 743,489 $19.30M
2024 505,570 $14.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 698,633 542,178 $39.47M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 509,203 414,731 $23.64M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 43,496 35,445 $3.65M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 34,779 31,732 $3.07M
99215 Prolong outpt/office vis 37,567 27,426 $2.61M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31,525 27,334 $2.27M
99232 Subsequent hospital care, per day, moderate complexity 89,533 28,118 $2.26M
59425 34,831 25,223 $2.18M
99233 Prolong inpt eval add15 m 57,779 19,630 $2.03M
90834 Psychotherapy, 45 minutes with patient 56,342 35,248 $2.00M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 136,219 120,138 $1.61M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17,100 15,538 $1.49M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29,075 25,144 $1.37M
59426 18,739 9,434 $1.22M
90472 Immunization administration, each additional vaccine (list separately) 72,806 55,251 $1.20M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 41,537 32,118 $1.13M
99223 Prolong inpt eval add15 m 13,641 9,913 $925K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 10,698 3,012 $915K
90837 Psychotherapy, 53 minutes with patient 12,738 6,083 $748K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 195,365 130,061 $699K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,075 8,074 $644K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24,386 20,238 $638K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,628 5,891 $580K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,787 5,103 $544K
99239 Hospital discharge day management, more than 30 minutes 11,647 8,679 $461K
90792 Psychiatric diagnostic evaluation with medical services 5,036 4,014 $408K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,647 7,078 $357K
99205 Prolong outpt/office vis 5,751 4,688 $348K
90791 Psychiatric diagnostic evaluation 5,071 4,398 $324K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,121 3,882 $293K
76820 8,608 6,696 $285K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,966 3,970 $274K
J0585 Injection, onabotulinumtoxina, 1 unit 358 222 $258K
90847 Family psychotherapy with the patient present, 50 minutes 4,242 2,983 $224K
99284 Emergency department visit for the evaluation and management, high severity 5,030 4,335 $221K
99238 Hospital discharge day management, 30 minutes or less 5,319 4,479 $214K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,112 3,368 $213K
20610 7,807 5,947 $207K
99283 Emergency department visit for the evaluation and management, moderate severity 8,432 7,177 $206K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,414 2,706 $196K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,693 1,883 $193K
99231 Subsequent hospital care, per day, straightforward or low complexity 12,587 4,625 $192K
99222 Initial hospital care, per day, moderate complexity 4,897 3,634 $180K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12,830 9,057 $179K
J0588 Injection, incobotulinumtoxin a, 1 unit 335 215 $151K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,487 10,810 $144K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,200 4,745 $144K
90832 Psychotherapy, 30 minutes with patient 4,050 2,908 $137K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,386 3,957 $133K
99309 Subsequent nursing facility care, per day, low to moderate complexity 10,268 5,455 $132K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,861 2,055 $121K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,650 1,701 $110K
90474 8,214 6,949 $105K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,761 3,413 $100K
99221 2,454 1,936 $99K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,679 1,285 $90K
95806 2,599 2,347 $86K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,811 3,465 $85K
83036 Hemoglobin; glycosylated (A1C) 16,434 14,143 $82K
99220 1,864 1,532 $77K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,240 966 $74K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 945 758 $71K
90686 34,304 31,226 $68K
45380 Colonoscopy, flexible; with biopsy, single or multiple 911 741 $58K
94010 5,688 4,209 $55K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 640 579 $53K
59430 1,437 1,126 $53K
95810 Polysomnography; sleep staging with 4 or more additional parameters 829 724 $44K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,656 1,251 $42K
90682 1,247 1,123 $41K
59025 Fetal non-stress test 3,003 1,333 $41K
99308 Subsequent nursing facility care, per day, straightforward 9,773 5,061 $40K
90853 Group psychotherapy (other than of a multiple-family group) 3,572 1,335 $39K
93000 6,706 5,365 $37K
92015 Determination of refractive state 3,908 2,775 $34K
76819 Fetal biophysical profile; without non-stress testing 711 367 $30K
94729 4,866 3,776 $29K
93295 1,722 1,272 $29K
94726 4,187 3,300 $27K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 8,180 6,492 $27K
11721 2,675 1,882 $27K
31575 411 328 $25K
94060 3,554 2,751 $24K
99152 3,315 2,719 $23K
71046 Radiologic examination, chest; 2 views 2,651 2,218 $23K
73630 1,988 1,637 $22K
90670 15,961 13,911 $22K
17110 682 569 $22K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 153 133 $22K
36416 10,179 8,269 $20K
73564 1,372 1,143 $20K
91320 285 174 $19K
90716 429 369 $19K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 338 295 $19K
99460 282 256 $17K
99385 948 857 $17K
93016 2,436 2,036 $17K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 915 736 $17K
73610 1,347 1,176 $17K
95886 373 331 $16K
99406 2,649 2,074 $15K
36415 Collection of venous blood by venipuncture 8,668 7,403 $15K
93294 2,349 1,643 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,365 1,204 $15K
90651 1,852 1,653 $14K
90480 870 405 $14K
46600 303 275 $13K
99443 837 459 $13K
99442 1,264 760 $13K
99173 7,208 6,730 $13K
92557 896 677 $13K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 746 269 $12K
73030 1,403 1,202 $12K
93018 2,616 2,172 $12K
69210 818 604 $12K
73562 2,356 1,627 $11K
90715 2,732 2,437 $11K
59514 410 286 $11K
90961 949 567 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 366 332 $11K
98968 2,116 1,201 $11K
90732 742 635 $10K
87807 1,063 896 $10K
99307 3,459 1,679 $10K
42820 Tonsillectomy and adenoidectomy; younger than age 12 44 44 $10K
0001A 556 268 $9K
80305 962 859 $9K
96127 2,634 2,507 $9K
0071A 450 234 $9K
0003A 397 333 $9K
92567 1,530 1,271 $8K
73110 723 592 $8K
93458 226 189 $8K
81002 6,715 4,949 $8K
0124A 340 219 $7K
0072A 205 193 $7K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 45 42 $7K
99201 527 488 $7K
90707 422 376 $7K
95251 348 277 $7K
97803 481 255 $7K
90698 12,713 11,073 $7K
99219 811 683 $7K
82962 5,570 4,400 $7K
76942 458 300 $7K
62321 94 77 $7K
90836 135 117 $6K
81003 6,291 4,833 $6K
11043 128 49 $6K
99383 141 119 $6K
93356 670 563 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,042 850 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,293 1,696 $6K
81025 2,404 2,057 $5K
83655 428 374 $5K
90656 1,749 1,679 $5K
97802 97 95 $5K
93454 42 36 $5K
96156 123 91 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 667 526 $5K
93299 127 80 $4K
99386 542 504 $4K
99292 57 12 $4K
98929 69 58 $4K
99217 1,086 960 $4K
64644 142 97 $4K
90680 8,497 7,233 $4K
99417 Prolong home eval add 15m 172 90 $4K
20611 102 81 $4K
73130 528 467 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 119 94 $4K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 915 732 $4K
77067 Screening mammography, bilateral, including computer-aided detection 50 39 $4K
95117 510 220 $4K
62323 76 64 $4K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 61 49 $4K
20550 374 284 $3K
3044F 12,456 9,956 $3K
87430 448 343 $3K
95811 182 168 $3K
99305 301 178 $3K
99401 292 170 $3K
97162 212 186 $3K
99382 49 37 $3K
V5266 Battery for use in hearing device 631 389 $3K
90671 4,911 4,278 $3K
87081 424 338 $3K
93227 562 504 $3K
11104 33 27 $3K
90739 21 16 $3K
93296 378 282 $2K
99407 327 244 $2K
0002A 120 65 $2K
73560 394 335 $2K
85018 961 846 $2K
47562 246 166 $2K
0154A 57 53 $2K
90620 305 254 $2K
87400 448 348 $2K
91322 39 14 $2K
99441 279 164 $2K
92083 95 84 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 681 562 $2K
G0444 Annual depression screening, 5 to 15 minutes 128 107 $2K
90473 170 144 $2K
43775 22 14 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 245 236 $2K
74018 147 130 $2K
94375 336 237 $2K
91321 25 12 $2K
96133 18 12 $2K
99381 103 88 $2K
54150 27 26 $2K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 311 178 $2K
64493 12 12 $1K
90734 1,689 1,488 $1K
99225 764 488 $1K
99459 110 72 $1K
0081A 63 36 $1K
99226 399 288 $1K
93272 146 127 $1K
96132 17 12 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 579 495 $1K
90935 Hemodialysis procedure with single evaluation by a physician 120 41 $1K
0004A 47 41 $1K
91319 14 14 $1K
0173A 30 29 $1K
90713 63 57 $1K
96116 38 24 $1K
90846 Family psychotherapy without the patient present, 50 minutes 12 12 $977.52
99354 90 79 $958.64
90632 109 95 $926.67
99497 461 233 $911.38
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 200 86 $906.77
92551 115 104 $904.58
96161 569 465 $892.46
58571 101 59 $852.80
72100 146 138 $810.14
29075 45 31 $793.76
99281 Emergency department visit for the evaluation and management, self-limited or minor 119 102 $792.82
91318 13 12 $784.81
77063 Screening digital breast tomosynthesis, bilateral 37 27 $753.43
98927 13 12 $664.04
92587 62 52 $661.43
97161 145 136 $659.03
90744 2,783 2,386 $632.00
73140 163 136 $611.10
51798 131 94 $605.63
80061 Lipid panel 69 65 $570.50
90633 4,691 4,154 $560.79
95012 136 111 $553.20
99304 22 12 $544.78
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,003 261 $519.02
0053A 14 14 $516.60
90673 65 53 $496.11
58100 149 133 $494.14
76821 47 29 $472.01
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 93 83 $430.82
93298 53 44 $425.31
90746 206 176 $413.88
73502 339 315 $375.69
72050 33 27 $373.25
95816 18 13 $310.98
J1010 Injection, methylprednisolone acetate, 1 mg 51 37 $295.82
73070 89 70 $292.13
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 22 14 $282.72
99218 202 163 $280.41
72110 153 146 $279.54
99384 16 16 $276.61
98967 77 60 $270.18
90962 21 12 $267.70
76937 32 25 $263.37
3046F 85 65 $260.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 76 66 $245.08
90685 1,016 934 $233.92
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 271 253 $225.65
93880 18 12 $215.63
93325 548 453 $203.82
96381 13 13 $203.25
99310 Prolong nursin fac eval 15m 53 25 $194.98
J1885 Injection, ketorolac tromethamine, per 15 mg 1,070 882 $188.73
76830 Ultrasound, transvaginal 152 145 $171.10
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified 29 13 $146.50
99318 16 12 $138.78
93320 284 254 $134.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 697 512 $128.13
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 340 229 $123.02
93923 18 15 $112.29
11100 270 230 $110.91
20605 147 120 $109.21
90688 455 433 $104.84
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) 1,264 938 $102.96
92283 12 12 $100.90
94664 22 13 $97.46
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13 13 $94.25
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 884 724 $65.02
99174 15 12 $56.32
90672 179 147 $55.44
97035 192 55 $51.96
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 100 67 $35.97
72040 15 14 $34.02
73600 15 13 $28.56
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 17 12 $24.22
3074F 130,782 106,928 $15.00
86580 199 175 $12.48
J0696 Injection, ceftriaxone sodium, per 250 mg 218 184 $12.26
A7015 Aerosol mask, used with dme nebulizer 98 84 $11.86
93321 74 56 $10.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg 301 236 $9.98
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 68 59 $5.67
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 87 62 $4.81
3060F 1,973 1,361 $0.00
3008F 265,901 222,183 $0.00
1111F 8,197 6,803 $0.00
3079F 30,211 25,155 $0.00
3075F 6,414 5,386 $0.00
90619 419 394 $0.00
4010F 12,469 10,002 $0.00
G0008 Administration of influenza virus vaccine 453 429 $0.00
90677 447 430 $0.00
90697 2,089 1,729 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 104 95 $0.00
3351F 1,177 894 $0.00
1125F 65 43 $0.00
3352F 125 106 $0.00
3353F 268 212 $0.00
57454 83 76 $0.00
90696 235 213 $0.00
99462 21 15 $0.00
3080F 134 115 $0.00
90381 33 28 $0.00
81001 112 101 $0.00
3048F 143 108 $0.00
76801 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 78 68 $0.00
90660 24 24 $0.00
99235 19 15 $0.00
64721 30 27 $0.00
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 12 12 $0.00
17000 17 17 $0.00
95911 16 12 $0.00
11730 16 12 $0.00
97597 18 12 $0.00
11200 15 13 $0.00
11900 15 14 $0.00
3078F 99,376 81,171 $0.00
90710 693 592 $0.00
93350 215 201 $0.00
3077F 1,144 950 $0.00
1160F 31 26 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 33 31 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 143 131 $0.00
90700 50 50 $0.00
27096 32 29 $0.00
93312 83 66 $0.00
20552 15 12 $0.00
90648 47 38 $0.00
99490 Ccm add 20min 37 24 $0.00
73565 53 47 $0.00
87210 176 148 $0.00
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 61 40 $0.00
96101 32 29 $0.00
3051F 13 13 $0.00
90681 14 14 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 65 63 $0.00
10060 61 51 $0.00
1159F 48 42 $0.00
93308 31 24 $0.00
82274 64 56 $0.00
11057 15 13 $0.00
17003 12 12 $0.00
27447 18 12 $0.00
73590 15 14 $0.00