Clinic
Childrens & Family Medicine Clinic PC
Childrens & Family Medicine Clinic PC was paid $4.15M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoCHILDRENS & FAMILY MEDICINE CLINIC PC
MUNSTER, IN 46321
MUNSTER, IN 46321
33aNPI1265978043assigned 01/17/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$4.15M
24GClaims92,548
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Indiana
Rank by total paid#1 of 39
Median peer was paid$19K
This provider vs. median222×
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 | 9,832 | $342K | |
| 2019 | 11,963 | $639K | |
| 2020 | 14,209 | $587K | |
| 2021 | 14,721 | $599K | |
| 2022 | 13,947 | $655K | |
| 2023 | 14,461 | $685K | |
| 2024incomplete | 13,415 | $642K |
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 | 44% | 36,745 | 26,202 | $1.84M |
| 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 | 35% | 23,068 | 16,398 | $1.44M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 2,462 | 1,727 | $189K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 2,187 | 1,853 | $152K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 1,637 | 1,457 | $121K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 2,440 | 1,952 | $77K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 973 | 761 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 5,035 | 3,651 | $48K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 502 | 443 | $41K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 995 | 804 | $31K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,859 | 4,946 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 314 | 187 | $22K |
38 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,993 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 229 | $14K |
| 99401 | <1% | 640 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,693 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 83 | $7K |
| 90461 | <1% | 115 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 305 | $3K |
| 90734 | <1% | 159 | $2K | |
| 90656 | <1% | 221 | $2K | |
| 0071A | <1% | 71 | $2K | |
| 0072A | <1% | 64 | $2K | |
| 90710 | <1% | 16 | $2K | |
| 81002 | <1% | 701 | $1K | |
| 90670 | <1% | 137 | $1K | |
| 90649 | <1% | 34 | $1K | |
| 87400 | <1% | 226 | $663.18 | |
| 90674 | <1% | 33 | $527.04 | |
| 90686 | <1% | 332 | $477.79 | |
| 81025 | <1% | 55 | $394.38 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 498 | $201.91 |
| 80061 | Lipid panel | <1% | 32 | $201.34 |
| 97802 | <1% | 50 | $194.47 | |
| 90633 | <1% | 65 | $184.00 | |
| 99441 | <1% | 73 | $177.55 | |
| 99407 | <1% | 19 | $163.08 | |
| 99173 | <1% | 145 | $159.97 | |
| 99422 | <1% | 40 | $120.41 | |
| 99490 | Ccm add 20min | <1% | 38 | $47.42 |
| 99072 | <1% | 1,949 | $24.38 | |
| 90672 | <1% | 14 | $0.05 | |
| 90713 | <1% | 15 | $0.03 | |
| 90651 | 0% | 25 | $0.00 | |
| 91307 | 0% | 105 | $0.00 | |
| 3074F | 0% | 15 | $0.00 | |
| 99406 | 0% | 16 | $0.00 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | 0% | 93 | $0.00 |
| 90700 | 0% | 16 | $0.00 | |
| 3078F | 0% | 16 | $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 officialALI, ZEBA (PRESIDENT)