Physician
Community Care Network INC
Community Care Network INC was paid $33.82M by Medicaid between Jan 2018 and Dec 2024, across 224 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoCOMMUNITY CARE NETWORK INC
ST JOHN, IN 46373
ST JOHN, IN 46373
33aNPI1457610487assigned 05/11/2012
33bProvider typeGeneral Practice Physician
28Total paid$33.82M
24GClaims1,004,676
24DCodes billed224
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Indiana
Rank by total paid#1 of 31
Median peer was paid$139K
This provider vs. median244×
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 | 156,571 | $1.82M | |
| 2019 | 131,067 | $4.32M | |
| 2020 | 137,646 | $4.51M | |
| 2021 | 158,086 | $6.14M | |
| 2022 | 150,604 | $6.26M | |
| 2023 | 155,000 | $6.46M | |
| 2024incomplete | 115,702 | $4.30M |
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 | 31% | 205,203 | 157,606 | $10.62M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 129,463 | 102,559 | $5.31M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.8% | 59,059 | 19,449 | $2.29M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.4% | 80,558 | 23,785 | $1.82M |
| 99223 | Prolong inpt eval add15 m | 4.2% | 18,611 | 13,337 | $1.43M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.2% | 16,208 | 14,056 | $1.41M |
| 59425 | 3.0% | 14,242 | 10,584 | $1.00M | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 9,376 | 7,762 | $695K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.9% | 5,565 | 1,616 | $628K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 8,558 | 6,750 | $595K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.7% | 21,509 | 16,914 | $583K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 12,132 | 8,943 | $580K |
212 more codes
| 59426 | 1.7% | 8,581 | $578K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 6,674 | $507K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 123,600 | $488K |
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 8,771 | $434K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.2% | 1,056 | $412K |
| 87428 | 1.1% | 12,110 | $383K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 7,042 | $342K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 4,411 | $323K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20,021 | $227K |
| 99205 | Prolong outpt/office vis | <1% | 2,263 | $193K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 10,783 | $178K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,087 | $146K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,823 | $140K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 4,262 | $136K |
| 20610 | <1% | 4,519 | $132K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 5,348 | $123K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 1,016 | $118K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 689 | $102K |
| 81002 | <1% | 38,551 | $96K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,288 | $90K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 7,321 | $90K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 3,446 | $86K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 742 | $82K |
| 95886 | <1% | 1,928 | $75K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 937 | $73K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,131 | $71K |
| 64483 | <1% | 657 | $62K | |
| 99221 | <1% | 1,513 | $61K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 2,796 | $60K |
| 99220 | <1% | 901 | $58K | |
| 31575 | <1% | 807 | $51K | |
| 99284 | Emergency room visit (serious) | <1% | 642 | $48K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,503 | $46K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 5,235 | $38K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 292 | $36K |
| 95117 | <1% | 3,777 | $32K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 343 | $30K |
| 93016 | <1% | 3,282 | $25K | |
| 99152 | <1% | 2,617 | $25K | |
| 95819 | <1% | 1,068 | $24K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 201 | $23K |
| 99217 | <1% | 997 | $21K | |
| 90474 | <1% | 1,561 | $20K | |
| 87807 | <1% | 2,664 | $20K | |
| 59430 | <1% | 824 | $20K | |
| 73630 | <1% | 1,315 | $20K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 423 | $19K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 919 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,258 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 544 | $17K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,335 | $17K |
| 93018 | <1% | 3,252 | $17K | |
| 69210 | <1% | 702 | $16K | |
| 59025 | Fetal non-stress test | <1% | 1,109 | $16K |
| 99283 | Emergency room visit (moderate) | <1% | 329 | $16K |
| 99292 | <1% | 271 | $15K | |
| 73610 | <1% | 743 | $15K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 637 | $11K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 497 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,646 | $11K |
| 81025 | <1% | 2,856 | $11K | |
| 94010 | <1% | 1,123 | $11K | |
| 93000 | <1% | 2,149 | $11K | |
| 90686 | <1% | 4,045 | $9K | |
| 93880 | <1% | 905 | $9K | |
| 90670 | <1% | 4,100 | $9K | |
| 73110 | <1% | 307 | $9K | |
| 31231 | <1% | 66 | $8K | |
| 96127 | <1% | 2,851 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,300 | $8K |
| 95811 | <1% | 102 | $7K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,426 | $7K |
| 96401 | <1% | 130 | $7K | |
| 59514 | <1% | 337 | $6K | |
| 93970 | <1% | 464 | $6K | |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 65 | $6K |
| 95911 | <1% | 201 | $6K | |
| 43235 | <1% | 89 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 728 | $6K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 762 | $5K |
| 95012 | <1% | 472 | $5K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 250 | $5K |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 27 | $5K |
| 73564 | <1% | 253 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,126 | $5K |
| 95806 | <1% | 123 | $5K | |
| 95874 | <1% | 241 | $4K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 19 | $4K |
| 11043 | <1% | 125 | $4K | |
| 99219 | <1% | 380 | $4K | |
| 15275 | <1% | 79 | $3K | |
| 99285 | Emergency room visit (most serious) | <1% | 33 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 343 | $3K |
| 73562 | <1% | 190 | $3K | |
| 97162 | <1% | 62 | $3K | |
| 94060 | <1% | 426 | $3K | |
| 90651 | <1% | 13 | $3K | |
| 83655 | <1% | 306 | $3K | |
| 93925 | <1% | 197 | $3K | |
| 99417 | Prolong home eval add 15m | <1% | 108 | $3K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 13 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | $3K |
| 77427 | <1% | 22 | $3K | |
| 94729 | <1% | 620 | $2K | |
| 94726 | <1% | 447 | $2K | |
| 90632 | <1% | 44 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 154 | $2K |
| 95910 | <1% | 42 | $2K | |
| 96161 | <1% | 806 | $2K | |
| 90682 | <1% | 154 | $2K | |
| 99381 | <1% | 26 | $2K | |
| 93923 | <1% | 291 | $2K | |
| 99460 | <1% | 29 | $2K | |
| 97014 | <1% | 473 | $2K | |
| 90698 | <1% | 1,578 | $2K | |
| 90680 | <1% | 1,842 | $2K | |
| 99441 | <1% | 643 | $1K | |
| 96040 | <1% | 25 | $1K | |
| 99354 | <1% | 125 | $1K | |
| 81001 | <1% | 554 | $1K | |
| A4617 | Mouth piece | <1% | 399 | $1K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 367 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,495 | $1K |
| 99459 | <1% | 90 | $1K | |
| 85018 | <1% | 598 | $1K | |
| 11102 | <1% | 29 | $1K | |
| 99318 | <1% | 25 | $1K | |
| 0071A | <1% | 50 | $1K | |
| 99442 | <1% | 277 | $965.33 | |
| 93272 | <1% | 99 | $943.50 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 27 | $933.38 |
| 17110 | <1% | 12 | $912.42 | |
| 93886 | <1% | 47 | $907.78 | |
| 90715 | <1% | 369 | $859.17 | |
| 96133 | <1% | 16 | $853.73 | |
| 44360 | <1% | 18 | $835.71 | |
| 31579 | <1% | 14 | $773.97 | |
| 90662 | <1% | 86 | $767.66 | |
| 81003 | <1% | 546 | $702.80 | |
| 99386 | <1% | 218 | $629.63 | |
| 64644 | <1% | 22 | $627.10 | |
| 93295 | <1% | 31 | $622.40 | |
| 73502 | <1% | 31 | $580.61 | |
| 20605 | <1% | 14 | $555.19 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 737 | $545.09 |
| 92504 | <1% | 36 | $541.47 | |
| 99443 | <1% | 73 | $524.04 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 234 | $517.29 |
| 98940 | <1% | 42 | $501.78 | |
| 97750 | <1% | 145 | $489.47 | |
| 93971 | <1% | 56 | $456.75 | |
| 99226 | <1% | 39 | $441.56 | |
| 90836 | <1% | 53 | $426.38 | |
| 99225 | <1% | 40 | $421.50 | |
| 0072A | <1% | 22 | $372.10 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 58 | $297.44 |
| 72100 | <1% | 14 | $285.02 | |
| 96120 | <1% | 21 | $275.44 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 14 | $269.94 |
| 90656 | <1% | 165 | $268.13 | |
| 95251 | <1% | 14 | $257.42 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | $251.08 |
| 90685 | <1% | 145 | $229.26 | |
| 99385 | <1% | 291 | $221.22 | |
| 90744 | <1% | 460 | $217.27 | |
| 11721 | <1% | 21 | $207.03 | |
| J3490 | Unclassified drugs | <1% | 2,059 | $168.51 |
| 94664 | <1% | 18 | $159.77 | |
| 93308 | <1% | 18 | $157.56 | |
| 92551 | <1% | 32 | $131.84 | |
| 93227 | <1% | 96 | $129.28 | |
| 99406 | <1% | 55 | $119.31 | |
| 96146 | <1% | 140 | $112.71 | |
| 82962 | <1% | 331 | $104.18 | |
| 90633 | <1% | 798 | $82.95 | |
| 83986 | <1% | 143 | $77.74 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,414 | $77.25 |
| 99173 | <1% | 65 | $69.06 | |
| 87210 | <1% | 319 | $64.97 | |
| 99218 | <1% | 18 | $57.58 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 193 | $42.70 |
| 90677 | <1% | 611 | $39.98 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 95 | $25.42 |
| 90688 | <1% | 41 | $16.24 | |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | <1% | 15 | $16.03 |
| 90648 | <1% | 77 | $10.29 | |
| 90707 | <1% | 13 | $8.00 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 241 | $1.01 |
| 90723 | <1% | 13 | $0.08 | |
| 3078F | 0% | 5,736 | $0.00 | |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 149 | $0.00 |
| 99072 | 0% | 13,440 | $0.00 | |
| 58558 | 0% | 15 | $0.00 | |
| 3077F | 0% | 24 | $0.00 | |
| J1944 | Injection, aripiprazole lauroxil, (aristada), 1 mg | 0% | 100 | $0.00 |
| 90734 | 0% | 21 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 59 | $0.00 |
| 3074F | 0% | 7,667 | $0.00 | |
| 3079F | 0% | 699 | $0.00 | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 0% | 72 | $0.00 |
| 93458 | 0% | 87 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 76 | $0.00 |
| 90697 | 0% | 934 | $0.00 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 0% | 216 | $0.00 |
| 58300 | 0% | 159 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 168 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 185 | $0.00 |
| 97010 | 0% | 49 | $0.00 | |
| 58301 | 0% | 61 | $0.00 | |
| 57454 | 0% | 57 | $0.00 | |
| 3075F | 0% | 62 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 18 | $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 officialKUMAR, ALAN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Nwi Medical Associates , LLC | Munster, IN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.