Clinic
Major Hospital
Major Hospital was paid $1.75M by Medicaid between Mar 2018 and Nov 2024, across 20 billing codes. Its largest line is 59426, — 34% of everything it billed.
33Billing provider infoMAJOR HOSPITAL
SHELBYVILLE, IN 46176
SHELBYVILLE, IN 46176
33aNPI1457860173assigned 09/26/2017
33bProvider typeRural Health Clinic/Center
28Total paid$1.75M
24GClaims57,193
24DCodes billed20
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Indiana
Rank by total paid#14 of 82
Median peer was paid$379K
This provider vs. median4.6×
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 | 443 | $20K | |
| 2019 | 4,417 | $141K | |
| 2020 | 4,619 | $185K | |
| 2021 | 12,208 | $404K | |
| 2022 | 17,586 | $470K | |
| 2023 | 12,676 | $387K | |
| 2024incomplete | 5,244 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 34% | 8,950 | 3,678 | $603K | |
| 59425 | 32% | 8,900 | 5,304 | $563K | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 16% | 21,995 | 11,017 | $287K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.7% | 1,620 | 1,032 | $117K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 605 | 382 | $37K |
| 81002 | 1.8% | 11,422 | 5,900 | $32K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.8% | 841 | 582 | $31K |
| 59430 | 1.3% | 170 | 112 | $23K | |
| 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 | <1% | 203 | 112 | $15K |
| 59025 | Fetal non-stress test | <1% | 375 | 101 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,014 | 684 | $8K |
| 99354 | <1% | 124 | 70 | $6K |
8 more codes
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 128 | $5K |
| J3490 | Unclassified drugs | <1% | 79 | $4K |
| 81025 | <1% | 422 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 150 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $1K |
| 99385 | <1% | 17 | $1K | |
| 90686 | <1% | 93 | $936.51 | |
| 96127 | <1% | 66 | $194.52 |
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 officialCLAXTON, RYAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Major Hospital | Shelbyville, IN | $14.18M |
| Major Multispecialty Associates | Shelbyville, IN | $4.79M |
| Major Medical Group LLC | Shelbyville, IN | $670K |
| Priority Care, LLC | Shelbyville, IN | $68K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.