Medicaid Provider Spending

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

INDIAN STREAM HEALTH CENTER, INC

NPI: 1386673952 · COLEBROOK, NH 03576 · General Practice Physician · NPI assigned 07/03/2006

$1.41M
Total Medicaid Paid
20,443
Total Claims
14,689
Beneficiaries
20
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialBROWN, JONATHAN (CEO)
NPI Enumeration Date07/03/2006

Related Entities

Other providers sharing the same authorized official: BROWN, JONATHAN

ProviderCityStateTotal Paid
WEST CENTRAL SERVICES, INC. LEBANON NH $38.23M
GRACE CONNECTION SERVICES MARYSVILLE WA $912K
INDIAN STREAM HEALTH CENTER, INC CANAAN VT $93K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,263 $416K
2019 6,281 $440K
2020 4,464 $315K
2021 2,435 $239K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,484 7,117 $1.39M
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 2,340 1,470 $16K
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 371 120 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,600 1,264 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,636 2,864 $2K
99422 77 50 $289.66
90686 79 72 $242.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 45 24 $206.69
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 91 81 $185.00
90834 Psychotherapy, 45 minutes with patient 2,085 1,150 $180.83
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 17 12 $180.00
99421 79 55 $132.30
90460 Immunization administration through 18 years of age via any route, first or only component 231 203 $105.59
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 45 32 $6.72
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 27 26 $0.00
98968 143 69 $0.00
90832 Psychotherapy, 30 minutes with patient 35 24 $0.00
90461 32 31 $0.00