Medicaid Provider Spending

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

SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC

NPI: 1376919217 · EAST CHICAGO, IN 46312 · Federally Qualified Health Center (FQHC) · NPI assigned 08/14/2015

$615K
Total Medicaid Paid
20,236
Total Claims
15,197
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKRUMWIED, ROBERT (CEO)
NPI Enumeration Date08/14/2015

Related Entities

Other providers sharing the same authorized official: KRUMWIED, ROBERT

ProviderCityStateTotal Paid
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. MERRILLVILLE IN $22.56M
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. MERRILLVILLE IN $14.01M
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC HAMMOND IN $1.38M
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC. MERRILLVILLE IN $696K
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. MERRILLVILLE IN $65K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,076 $11K
2019 2,208 $98K
2020 2,267 $92K
2021 3,333 $110K
2022 3,676 $103K
2023 4,855 $127K
2024 2,821 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,356 4,028 $248K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,992 1,503 $137K
T1015 Clinic visit/encounter, all-inclusive 5,426 3,843 $95K
90832 Psychotherapy, 30 minutes with patient 766 556 $34K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 318 284 $31K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 245 189 $16K
99401 849 654 $16K
36415 Collection of venous blood by venipuncture 2,722 2,245 $7K
90791 Psychiatric diagnostic evaluation 65 50 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 52 50 $5K
90837 Psychotherapy, 53 minutes with patient 52 41 $4K
96127 968 509 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 318 271 $2K
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 80 64 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 70 56 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 50 41 $2K
90686 110 90 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $893.60
0064A 27 27 $706.99
90480 19 15 $428.45
90674 16 15 $395.86
0004A 14 13 $372.10
83036 Hemoglobin; glycosylated (A1C) 46 43 $348.21
90715 13 12 $312.76
81025 15 13 $90.41
81002 13 13 $30.34
3008F 202 184 $0.00
4000F 15 15 $0.00
3079F 63 57 $0.00
0545F 43 42 $0.00
3074F 72 68 $0.00
2010F 15 12 $0.00
1220F 18 17 $0.00
3352F 17 15 $0.00
91300 14 12 $0.00
3078F 16 14 $0.00
3077F 80 69 $0.00
1160F 20 15 $0.00
91322 16 12 $0.00
1159F 15 13 $0.00
4013F 14 14 $0.00