Clinic
Heart City Health Center, INC.
Heart City Health Center, INC. was paid $157K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoHEART CITY HEALTH CENTER, INC.
ELKHART, IN 46517
ELKHART, IN 46517
33aNPI1295143774assigned 07/28/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$157K
24GClaims10,823
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#111 of 156
Median peer was paid$568K
This provider vs. median0.3×
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 | 943 | $20K | |
| 2019 | 1,059 | $35K | |
| 2020 | 1,054 | $46K | |
| 2021 | 1,175 | $12K | |
| 2022 | 2,150 | $15K | |
| 2023 | 3,137 | $19K | |
| 2024incomplete | 1,305 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 67% | 2,675 | 1,988 | $106K |
| 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 | 19% | 1,192 | 955 | $31K |
| 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 | 7.7% | 2,871 | 2,191 | $12K |
| 90480 | 1.5% | 207 | 68 | $2K | |
| 80061 | Lipid panel | <1% | 726 | 604 | $1K |
| 0011A | <1% | 35 | 34 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 323 | 287 | $833.72 |
| 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 | <1% | 1,703 | 1,221 | $595.40 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 309 | 226 | $588.81 |
| 0003A | <1% | 14 | 13 | $409.31 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | 29 | $373.80 |
| 0001A | <1% | 34 | 30 | $297.68 |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | $254.78 |
| 0071A | <1% | 12 | $186.05 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 141 | $145.82 |
| 96127 | <1% | 137 | $50.47 | |
| 90686 | <1% | 90 | $20.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 57 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 113 | $0.00 |
| 99381 | 0% | 16 | $0.00 | |
| 3008F | 0% | 51 | $0.00 | |
| 1036F | 0% | 54 | $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 officialFULTZ, ESLEEN (CEO)
Parent organizationHEART CITY HEALTH CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Heart City Health Center, INC. | Elkhart, IN | $6.36M |
| Heart City Health Center, INC. | Elkhart, IN | $507K |
| Heart City Health Center, INC. | Elkhart, IN | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.