Medicaid Provider Spending

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

HEART CITY HEALTH CENTER, INC.

NPI: 1295143774 · ELKHART, IN 46517 · Federally Qualified Health Center (FQHC) · NPI assigned 07/28/2014

$157K
Total Medicaid Paid
10,823
Total Claims
8,167
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFULTZ, ESLEEN (CEO)
Parent OrganizationHEART CITY HEALTH CENTER, INC.
NPI Enumeration Date07/28/2014

Related Entities

Other providers sharing the same authorized official: FULTZ, ESLEEN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 943 $20K
2019 1,059 $35K
2020 1,054 $46K
2021 1,175 $12K
2022 2,150 $15K
2023 3,137 $19K
2024 1,305 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,675 1,988 $106K
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 1,192 955 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,871 2,191 $12K
90480 207 68 $2K
80061 Lipid panel 726 604 $1K
0011A 35 34 $1K
83036 Hemoglobin; glycosylated (A1C) 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 1,703 1,221 $595.40
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 309 226 $588.81
0003A 14 13 $409.31
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 29 $373.80
0001A 34 30 $297.68
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20 15 $254.78
0071A 12 12 $186.05
36415 Collection of venous blood by venipuncture 141 103 $145.82
96127 137 103 $50.47
90686 90 66 $20.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 57 43 $0.00
G0008 Administration of influenza virus vaccine 113 81 $0.00
99381 16 15 $0.00
3008F 51 42 $0.00
1036F 54 41 $0.00