Clinic
Riggs Community Health Center INC
Riggs Community Health Center INC was paid $22.27M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoRIGGS COMMUNITY HEALTH CENTER INC
LAFAYETTE, IN 47904
LAFAYETTE, IN 47904
33aNPI1386660900assigned 07/15/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$22.27M
24GClaims868,802
24DCodes billed126
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#1 of 156
Median peer was paid$568K
This provider vs. median39×
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 | 88,853 | $1.77M | |
| 2019 | 98,543 | $3.44M | |
| 2020 | 85,309 | $2.97M | |
| 2021 | 134,381 | $3.55M | |
| 2022 | 172,942 | $3.79M | |
| 2023 | 154,321 | $3.60M | |
| 2024incomplete | 134,453 | $3.16M |
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 | 24% | 117,512 | 92,188 | $5.32M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 23% | 197,314 | 143,936 | $5.21M |
| 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 | 13% | 54,072 | 41,756 | $2.97M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 13,404 | 10,775 | $966K |
| 59425 | 4.0% | 15,674 | 10,990 | $899K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 14,350 | 11,410 | $876K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.5% | 23,236 | 14,668 | $778K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 9,446 | 8,054 | $670K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 23,488 | 17,803 | $514K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 6,085 | 4,932 | $416K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 39,818 | 30,059 | $375K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 4,399 | 3,703 | $281K |
114 more codes
| D9999 | Unspecified adjunctive procedure, by report | 1.2% | 17,177 | $278K |
| D1110 | Prophylaxis - adult | <1% | 5,324 | $191K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,197 | $177K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 5,664 | $155K |
| 99000 | <1% | 74,290 | $151K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,530 | $146K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,094 | $132K |
| 36415 | Collection of venous blood by venipuncture | <1% | 46,926 | $127K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,782 | $103K |
| D0120 | Dental checkup, returning patient | <1% | 5,447 | $99K |
| D1120 | Dental cleaning, child | <1% | 3,320 | $92K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,988 | $89K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,161 | $84K |
| D1206 | Topical application of fluoride varnish | <1% | 5,140 | $82K |
| 99381 | <1% | 2,331 | $80K | |
| D0274 | Bitewings - four radiographic images | <1% | 3,363 | $76K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,684 | $74K |
| D1351 | Sealant - per tooth | <1% | 3,054 | $69K |
| D0330 | Panoramic radiographic image | <1% | 1,712 | $62K |
| 90674 | <1% | 7,602 | $54K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 733 | $45K |
| G0467 | Community health center visit, returning patient | <1% | 3,761 | $42K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,437 | $40K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,265 | $39K |
| 83655 | <1% | 4,209 | $39K | |
| 99354 | <1% | 1,020 | $33K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,314 | $33K |
| 98940 | <1% | 1,623 | $32K | |
| 90473 | <1% | 2,511 | $30K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,653 | $29K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,822 | $27K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 330 | $26K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,177 | $25K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 204 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,206 | $21K |
| 99188 | <1% | 2,672 | $18K | |
| 96127 | <1% | 6,312 | $17K | |
| 81002 | <1% | 7,541 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,332 | $14K |
| 90715 | <1% | 1,860 | $11K | |
| 85018 | <1% | 5,679 | $11K | |
| 99383 | <1% | 145 | $11K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 707 | $10K |
| 87807 | <1% | 1,060 | $9K | |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 373 | $9K |
| 90474 | <1% | 740 | $7K | |
| 59426 | <1% | 251 | $7K | |
| 99382 | <1% | 62 | $4K | |
| 99384 | <1% | 71 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 254 | $4K |
| 90698 | <1% | 11,840 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 41 | $3K |
| 0071A | <1% | 112 | $3K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 83 | $3K |
| 99385 | <1% | 110 | $2K | |
| 87210 | <1% | 988 | $2K | |
| D1354 | <1% | 52 | $2K | |
| 98943 | <1% | 117 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $2K |
| 90670 | <1% | 10,325 | $2K | |
| 99173 | <1% | 1,909 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 30 | $2K |
| 90651 | <1% | 3,694 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 29 | $1K |
| 0011A | <1% | 37 | $893.04 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 268 | $877.96 |
| 90686 | <1% | 8,730 | $825.08 | |
| D1352 | <1% | 21 | $709.00 | |
| 0072A | <1% | 28 | $706.99 | |
| 90681 | <1% | 4,497 | $657.38 | |
| 90744 | <1% | 5,989 | $608.46 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 120 | $576.60 |
| D0270 | <1% | 28 | $506.66 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 33 | $483.74 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 13 | $391.92 |
| 90716 | <1% | 1,446 | $361.42 | |
| 90620 | <1% | 1,401 | $333.11 | |
| 90661 | <1% | 468 | $326.36 | |
| 90707 | <1% | 1,373 | $294.96 | |
| 90633 | <1% | 6,315 | $266.35 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 23 | $221.81 |
| D4342 | <1% | 59 | $202.92 | |
| 82962 | <1% | 244 | $118.82 | |
| 90734 | <1% | 2,879 | $106.61 | |
| 86580 | <1% | 114 | $96.75 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 126 | $95.05 |
| 3044F | <1% | 1,528 | $80.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 33 | $5.59 |
| 90710 | <1% | 1,750 | $3.95 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $3.90 |
| 90696 | <1% | 1,234 | $2.65 | |
| 90677 | <1% | 1,361 | $0.74 | |
| 90685 | <1% | 113 | $0.45 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 317 | $0.42 |
| 90700 | <1% | 68 | $0.35 | |
| 90648 | <1% | 45 | $0.08 | |
| 1159F | 0% | 6,578 | $0.00 | |
| 3078F | 0% | 3,335 | $0.00 | |
| 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 | 0% | 273 | $0.00 |
| 3077F | 0% | 120 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 14 | $0.00 |
| 90380 | 0% | 24 | $0.00 | |
| 91301 | 0% | 60 | $0.00 | |
| 3074F | 0% | 3,904 | $0.00 | |
| 3079F | 0% | 878 | $0.00 | |
| 3075F | 0% | 184 | $0.00 | |
| 1126F | 0% | 168 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 40 | $0.00 |
| 91307 | 0% | 161 | $0.00 | |
| 88720 | 0% | 14 | $0.00 | |
| 3080F | 0% | 44 | $0.00 | |
| 93000 | 0% | 21 | $0.00 | |
| 90381 | 0% | 32 | $0.00 | |
| 90723 | 0% | 20 | $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 officialMCQUADE-JONES, BAMBI (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Riggs Community Health Center INC | Lafayette, IN | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.