Clinic
Franciscan Physician Network
Franciscan Physician Network was paid $16.17M by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoFRANCISCAN PHYSICIAN NETWORK
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
33aNPI1366879009assigned 09/26/2013
33bProvider typeUrgent Care Clinic/Center
28Total paid$16.17M
24GClaims432,830
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Indiana
Rank by total paid#1 of 27
Median peer was paid$365K
This provider vs. median44×
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 | 16,415 | $418K | |
| 2019 | 22,743 | $1.01M | |
| 2020 | 36,666 | $1.77M | |
| 2021 | 58,867 | $3.01M | |
| 2022 | 70,390 | $3.61M | |
| 2023 | 137,496 | $3.48M | |
| 2024incomplete | 90,253 | $2.87M |
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 | 50% | 139,813 | 125,676 | $8.04M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 37,466 | 33,719 | $2.56M |
| 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 | 15% | 41,650 | 35,619 | $2.51M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.1% | 26,902 | 24,829 | $1.15M |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.6% | 15,688 | 14,291 | $417K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.2% | 4,730 | 4,375 | $362K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 7,701 | 6,886 | $315K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 17,439 | 13,971 | $239K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 4,924 | 4,428 | $175K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,266 | 12,782 | $160K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,533 | 3,129 | $58K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 833 | 704 | $56K |
43 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,593 | $48K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 181 | $15K |
| 81001 | <1% | 3,780 | $8K | |
| 73630 | <1% | 355 | $7K | |
| 87634 | <1% | 94 | $6K | |
| 87807 | <1% | 608 | $5K | |
| 93975 | <1% | 32 | $5K | |
| 81003 | <1% | 2,546 | $5K | |
| 81002 | <1% | 1,718 | $4K | |
| 71250 | <1% | 66 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 215 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 35 | $2K |
| 81025 | <1% | 240 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 210 | $1K |
| 87210 | <1% | 297 | $1K | |
| 76536 | <1% | 16 | $1K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 17 | $1K |
| 73610 | <1% | 73 | $984.84 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 302 | $666.18 |
| 73562 | <1% | 13 | $365.33 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $315.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 14 | $273.64 |
| 36415 | Collection of venous blood by venipuncture | <1% | 47 | $259.40 |
| 99201 | <1% | 14 | $242.57 | |
| 73110 | <1% | 16 | $230.24 | |
| 73130 | <1% | 19 | $194.39 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 21 | $124.46 |
| 86308 | <1% | 16 | $78.44 | |
| 90686 | <1% | 67 | $47.24 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 103 | $15.19 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 134 | $7.95 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 44 | $6.41 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 181 | $1.22 |
| 3077F | 0% | 1,642 | $0.00 | |
| 3078F | 0% | 16,990 | $0.00 | |
| 3008F | 0% | 51,309 | $0.00 | |
| 3074F | 0% | 22,800 | $0.00 | |
| 3079F | 0% | 8,290 | $0.00 | |
| 3075F | 0% | 1,371 | $0.00 | |
| 4010F | 0% | 277 | $0.00 | |
| 3044F | 0% | 529 | $0.00 | |
| 3080F | 0% | 577 | $0.00 | |
| Q0112 | All potassium hydroxide (koh) preparations | 0% | 17 | $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 officialPHALEN, DONNA (CORPORATE DIRECTOR CHARGE CAPTURE)
| Provider | Location | Paid |
|---|---|---|
| Franciscan Physician Network | Indianapolis, IN | $105.95M |
| Franciscan Health Indianapolis & Mooresville | Indianapolis, IN | $6.79M |
| Indiana Blood and Marrow Transplantation LLC | Indianapolis, IN | $55K |
| GLHS Anesthesia Group | Lafayette, IN | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.