Medicaid Provider Spending

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

FRANCISCAN PHYSICIAN NETWORK

NPI: 1366879009 · MISHAWAKA, IN 46544 · Urgent Care Clinic/Center · NPI assigned 09/26/2013

$16.17M
Total Medicaid Paid
432,830
Total Claims
386,004
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPHALEN, DONNA (CORPORATE DIRECTOR CHARGE CAPTURE)
NPI Enumeration Date09/26/2013

Related Entities

Other providers sharing the same authorized official: PHALEN, DONNA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 90,253 $2.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 139,813 125,676 $8.04M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37,466 33,719 $2.56M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41,650 35,619 $2.51M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 26,902 24,829 $1.15M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 15,688 14,291 $417K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,730 4,375 $362K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,701 6,886 $315K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17,439 13,971 $239K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,924 4,428 $175K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14,266 12,782 $160K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 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 833 704 $56K
71046 Radiologic examination, chest; 2 views 2,593 2,339 $48K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 181 165 $15K
81001 3,780 3,374 $8K
73630 355 277 $7K
87634 94 91 $6K
87807 608 553 $5K
93975 32 27 $5K
81003 2,546 2,316 $5K
81002 1,718 1,511 $4K
71250 66 46 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 215 179 $3K
76830 Ultrasound, transvaginal 35 29 $2K
81025 240 213 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 210 154 $1K
87210 297 266 $1K
76536 16 13 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 17 15 $1K
73610 73 53 $984.84
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 302 280 $666.18
73562 13 12 $365.33
90472 Immunization administration, each additional vaccine (list separately) 16 16 $315.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 14 12 $273.64
36415 Collection of venous blood by venipuncture 47 40 $259.40
99201 14 12 $242.57
73110 16 12 $230.24
73130 19 15 $194.39
87086 Culture, bacterial; quantitative colony count, urine 21 17 $124.46
86308 16 16 $78.44
90686 67 57 $47.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg 103 90 $15.19
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 134 108 $7.95
J1040 Injection, methylprednisolone acetate, 80 mg 44 38 $6.41
J1885 Injection, ketorolac tromethamine, per 15 mg 181 171 $1.22
3077F 1,642 1,439 $0.00
3078F 16,990 15,274 $0.00
3008F 51,309 46,078 $0.00
3074F 22,800 20,462 $0.00
3079F 8,290 7,367 $0.00
3075F 1,371 1,218 $0.00
4010F 277 231 $0.00
3044F 529 479 $0.00
3080F 577 518 $0.00
Q0112 All potassium hydroxide (koh) preparations 17 12 $0.00