Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › ST JOHN › COMMUNITY CARE NETWORK INC

COMMUNITY CARE NETWORK INC

NPI: 1457610487 · ST JOHN, IN 46373 · General Practice Physician · NPI assigned 05/11/2012

$33.82M
Total Medicaid Paid
1,004,676
Total Claims
696,622
Beneficiaries
224
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKUMAR, ALAN (ADMINISTRATOR)
NPI Enumeration Date05/11/2012

Related Entities

Other providers sharing the same authorized official: KUMAR, ALAN

ProviderCityStateTotal Paid
NWI MEDICAL ASSOCIATES , LLC MUNSTER IN $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 115,702 $4.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 205,203 157,606 $10.62M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 129,463 102,559 $5.31M
99233 Prolong inpt eval add15 m 59,059 19,449 $2.29M
99232 Subsequent hospital care, per day, moderate complexity 80,558 23,785 $1.82M
99223 Prolong inpt eval add15 m 18,611 13,337 $1.43M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16,208 14,056 $1.41M
59425 14,242 10,584 $1.00M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,376 7,762 $695K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,565 1,616 $628K
99215 Prolong outpt/office vis 8,558 6,750 $595K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 21,509 16,914 $583K
99239 Hospital discharge day management, more than 30 minutes 12,132 8,943 $580K
59426 8,581 4,098 $578K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,674 6,076 $507K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 123,600 88,151 $488K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,771 7,519 $434K
J0585 Injection, onabotulinumtoxina, 1 unit 1,056 533 $412K
87428 12,110 10,979 $383K
99222 Initial hospital care, per day, moderate complexity 7,042 4,943 $342K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,411 3,482 $323K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20,021 17,411 $227K
99205 Prolong outpt/office vis 2,263 1,965 $193K
90472 Immunization administration, each additional vaccine (list separately) 10,783 9,360 $178K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,087 4,939 $146K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,823 2,672 $140K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,262 2,978 $136K
20610 4,519 3,252 $132K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,348 1,369 $123K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,016 830 $118K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 689 537 $102K
81002 38,551 23,549 $96K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,288 7,350 $90K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,321 2,746 $90K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 3,446 1,051 $86K
90792 Psychiatric diagnostic evaluation with medical services 742 631 $82K
95886 1,928 1,571 $75K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 937 863 $73K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,131 2,621 $71K
64483 657 547 $62K
99221 1,513 1,114 $61K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,796 730 $60K
99220 901 750 $58K
31575 807 680 $51K
99284 Emergency department visit for the evaluation and management, high severity 642 589 $48K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,503 584 $46K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,235 2,756 $38K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 292 223 $36K
95117 3,777 1,582 $32K
95810 Polysomnography; sleep staging with 4 or more additional parameters 343 326 $30K
93016 3,282 2,723 $25K
99152 2,617 2,076 $25K
95819 1,068 785 $24K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 201 164 $23K
99217 997 782 $21K
90474 1,561 1,348 $20K
87807 2,664 2,431 $20K
59430 824 705 $20K
73630 1,315 885 $20K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 423 357 $19K
99238 Hospital discharge day management, 30 minutes or less 919 738 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,258 1,143 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 544 486 $17K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,335 1,843 $17K
93018 3,252 2,698 $17K
69210 702 582 $16K
59025 Fetal non-stress test 1,109 719 $16K
99283 Emergency department visit for the evaluation and management, moderate severity 329 302 $16K
99292 271 193 $15K
73610 743 476 $15K
97530 Therapeutic activities, direct patient contact, each 15 minutes 637 201 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 497 441 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,646 2,099 $11K
81025 2,856 2,491 $11K
94010 1,123 881 $11K
93000 2,149 1,667 $11K
90686 4,045 3,575 $9K
93880 905 733 $9K
90670 4,100 3,531 $9K
73110 307 194 $9K
31231 66 62 $8K
96127 2,851 2,327 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,300 1,217 $8K
95811 102 87 $7K
J1030 Injection, methylprednisolone acetate, 40 mg 1,426 1,180 $7K
96401 130 104 $7K
59514 337 195 $6K
93970 464 369 $6K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 65 25 $6K
95911 201 169 $6K
43235 89 68 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 728 694 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 762 175 $5K
95012 472 429 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg 250 224 $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 27 13 $5K
73564 253 170 $5K
83036 Hemoglobin; glycosylated (A1C) 1,126 1,034 $5K
95806 123 114 $5K
95874 241 158 $4K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 19 14 $4K
11043 125 25 $4K
99219 380 353 $4K
15275 79 25 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 33 31 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 343 303 $3K
73562 190 123 $3K
97162 62 56 $3K
94060 426 364 $3K
90651 13 12 $3K
83655 306 286 $3K
93925 197 160 $3K
99417 Prolong home eval add 15m 108 93 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 30 25 $3K
77427 22 12 $3K
94729 620 530 $2K
94726 447 379 $2K
90632 44 38 $2K
99310 Prolong nursin fac eval 15m 154 85 $2K
95910 42 37 $2K
96161 806 691 $2K
90682 154 146 $2K
99381 26 24 $2K
93923 291 220 $2K
99460 29 26 $2K
97014 473 135 $2K
90698 1,578 1,319 $2K
90680 1,842 1,597 $2K
99441 643 353 $1K
96040 25 25 $1K
99354 125 102 $1K
81001 554 447 $1K
A4617 Mouth piece 399 381 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 367 304 $1K
36415 Collection of venous blood by venipuncture 1,495 1,334 $1K
99459 90 81 $1K
85018 598 538 $1K
11102 29 25 $1K
99318 25 21 $1K
0071A 50 29 $1K
99442 277 149 $965.33
93272 99 85 $943.50
99306 Prolong nursin fac eval 15m 27 15 $933.38
17110 12 12 $912.42
93886 47 24 $907.78
90715 369 323 $859.17
96133 16 12 $853.73
44360 18 13 $835.71
31579 14 12 $773.97
90662 86 83 $767.66
81003 546 485 $702.80
99386 218 207 $629.63
64644 22 12 $627.10
93295 31 25 $622.40
73502 31 24 $580.61
20605 14 12 $555.19
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 737 609 $545.09
92504 36 27 $541.47
99443 73 42 $524.04
99153 Mod sedat endo service >5yrs 234 197 $517.29
98940 42 13 $501.78
97750 145 103 $489.47
93971 56 42 $456.75
99226 39 26 $441.56
90836 53 28 $426.38
99225 40 24 $421.50
0072A 22 13 $372.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 58 46 $297.44
72100 14 12 $285.02
96120 21 13 $275.44
88305 Level IV - Surgical pathology, gross and microscopic examination 14 13 $269.94
90656 165 164 $268.13
95251 14 13 $257.42
71046 Radiologic examination, chest; 2 views 16 15 $251.08
90685 145 133 $229.26
99385 291 283 $221.22
90744 460 387 $217.27
11721 21 13 $207.03
J3490 Unclassified drugs 2,059 1,817 $168.51
94664 18 15 $159.77
93308 18 12 $157.56
92551 32 17 $131.84
93227 96 94 $129.28
99406 55 34 $119.31
96146 140 105 $112.71
82962 331 194 $104.18
90633 798 698 $82.95
83986 143 121 $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) 1,414 1,025 $77.25
99173 65 31 $69.06
87210 319 281 $64.97
99218 18 15 $57.58
J1100 Injection, dexamethasone sodium phosphate, 1 mg 193 165 $42.70
90677 611 556 $39.98
90460 Immunization administration through 18 years of age via any route, first or only component 95 84 $25.42
90688 41 41 $16.24
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 15 12 $16.03
90648 77 67 $10.29
90707 13 12 $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) 241 106 $1.01
90723 13 13 $0.08
3078F 5,736 5,000 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 149 121 $0.00
99072 13,440 11,333 $0.00
58558 15 13 $0.00
3077F 24 24 $0.00
J1944 Injection, aripiprazole lauroxil, (aristada), 1 mg 100 78 $0.00
90734 21 12 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 59 53 $0.00
3074F 7,667 6,663 $0.00
3079F 699 606 $0.00
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 72 71 $0.00
93458 87 83 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 76 61 $0.00
90697 934 850 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 216 193 $0.00
58300 159 152 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 168 155 $0.00
G0008 Administration of influenza virus vaccine 185 185 $0.00
97010 49 17 $0.00
58301 61 59 $0.00
57454 57 53 $0.00
3075F 62 56 $0.00
A9150 Non-prescription drugs 18 17 $0.00