Clinic
Southern Indiana Community Health Care, INC
Southern Indiana Community Health Care, INC was paid $2.03M by Medicaid between Feb 2018 and Sep 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoSOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
PAOLI, IN 47454
PAOLI, IN 47454
33aNPI1386151371assigned 12/29/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.03M
24GClaims74,478
24DCodes billed35
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#45 of 156
Median peer was paid$568K
This provider vs. median3.6×
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 | 3,086 | $75K | |
| 2019 | 6,505 | $252K | |
| 2020 | 5,735 | $233K | |
| 2021 | 10,173 | $328K | |
| 2022 | 18,650 | $440K | |
| 2023 | 29,275 | $692K | |
| 2024incomplete | 1,054 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 10,821 | 7,620 | $709K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 16,018 | 12,812 | $659K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 13% | 24,422 | 14,292 | $261K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 3,180 | 1,727 | $223K |
| 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 | 2.8% | 2,176 | 1,873 | $56K |
| 59425 | 1.7% | 503 | 222 | $35K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 280 | 169 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,248 | 944 | $15K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 151 | 101 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 386 | 351 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 134 | 62 | $4K |
| 81003 | <1% | 2,346 | 1,155 | $4K |
23 more codes
| 90686 | <1% | 543 | $4K | |
| G0466 | Community health center visit, new patient | <1% | 105 | $4K |
| 59426 | <1% | 52 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 147 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 218 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 418 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 50 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 50 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 49 | $555.54 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 54 | $529.15 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 41 | $477.16 |
| 0013A | <1% | 24 | $409.31 | |
| 36416 | <1% | 154 | $339.60 | |
| 96127 | <1% | 46 | $144.28 | |
| 98960 | <1% | 15 | $48.52 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 41 | $43.00 |
| 1160F | 0% | 1,746 | $0.00 | |
| 1159F | 0% | 8,884 | $0.00 | |
| 3078F | 0% | 54 | $0.00 | |
| 3074F | 0% | 16 | $0.00 | |
| 90688 | 0% | 34 | $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 officialRADCLIFF, NANCY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Southern Indiana Community Health Care, INC | West Baden Springs, IN | $870K |
| Southern Indiana Community Health Care, INC | Marengo, IN | $766K |
| Southern Indiana Community Health Care, INC | English, IN | $632K |
| Southern Indiana Community Health Care, INC | Bedford, IN | $144K |
| Southern Indiana Community Health Care, INC | Mitchell, IN | $128K |
| Southern Indiana Community Health Care, INC | Orleans, IN | $74K |
| Southern Indiana Community Health Care, INC | English, IN | $19K |
| Southern Indiana Community Health Care, INC | French Lick, IN | $15K |
| Southern Indiana Community Health Care, INC | Salem, IN | $743.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.