Physician
Raphael Health Center, INC
Raphael Health Center, INC was paid $6.19M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoRAPHAEL HEALTH CENTER, INC
INDIANAPOLIS, IN 46205
INDIANAPOLIS, IN 46205
33aNPI1487764759assigned 08/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$6.19M
24GClaims218,328
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#9 of 408
Median peer was paid$81K
This provider vs. median76×
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 | 16,754 | $269K | |
| 2019 | 17,292 | $572K | |
| 2020 | 14,708 | $526K | |
| 2021 | 37,233 | $1.16M | |
| 2022 | 55,284 | $1.44M | |
| 2023 | 47,593 | $1.35M | |
| 2024incomplete | 29,464 | $868K |
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 | 28% | 34,772 | 27,367 | $1.73M |
| 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 | 14% | 12,977 | 10,178 | $893K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 13,145 | 6,567 | $749K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.4% | 57,496 | 38,860 | $459K |
| 59426 | 3.6% | 3,635 | 1,278 | $221K | |
| 59425 | 3.4% | 4,050 | 2,511 | $213K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.2% | 1,348 | 1,099 | $134K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.1% | 1,376 | 788 | $128K |
| D1110 | Prophylaxis - adult | 2.0% | 3,410 | 2,604 | $125K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 1,637 | 1,357 | $123K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 1,179 | 973 | $101K |
| D9999 | Unspecified adjunctive procedure, by report | 1.4% | 8,113 | 6,306 | $86K |
79 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 3,428 | $80K |
| D0120 | Dental checkup, returning patient | 1.3% | 4,583 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,131 | $77K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 1,317 | $75K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 15,167 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 918 | $64K |
| D1120 | Dental cleaning, child | 1.0% | 2,597 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 2,367 | $64K |
| D0330 | Panoramic radiographic image | <1% | 1,605 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 891 | $60K |
| D1206 | Topical application of fluoride varnish | <1% | 3,789 | $57K |
| D0274 | Bitewings - four radiographic images | <1% | 1,796 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,594 | $40K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 825 | $39K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,100 | $36K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,077 | $32K |
| 59430 | <1% | 221 | $31K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 478 | $28K |
| V2020 | Frames, purchases | <1% | 749 | $24K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 182 | $19K |
| 92015 | Determination of refractive state | <1% | 1,397 | $19K |
| 81002 | <1% | 8,333 | $18K | |
| 92551 | <1% | 2,710 | $15K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 316 | $14K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 266 | $13K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 141 | $11K |
| G0467 | Community health center visit, returning patient | <1% | 533 | $11K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 503 | $10K |
| 99385 | <1% | 66 | $7K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 127 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 233 | $6K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 187 | $5K |
| D1351 | Sealant - per tooth | <1% | 197 | $5K |
| 81025 | <1% | 751 | $4K | |
| 99173 | <1% | 2,940 | $4K | |
| 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% | 244 | $3K |
| 97802 | <1% | 56 | $3K | |
| D4910 | <1% | 76 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 196 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $3K |
| 90651 | <1% | 324 | $2K | |
| 80305 | <1% | 204 | $2K | |
| 90686 | <1% | 1,911 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 371 | $2K |
| 90461 | <1% | 440 | $1K | |
| D1354 | <1% | 39 | $1K | |
| 99354 | <1% | 32 | $840.00 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 17 | $838.11 |
| 99381 | <1% | 19 | $682.40 | |
| 90670 | <1% | 552 | $649.23 | |
| 90688 | <1% | 273 | $627.82 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 35 | $531.57 |
| 99408 | <1% | 90 | $423.27 | |
| 81000 | <1% | 116 | $413.39 | |
| 90734 | <1% | 68 | $410.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | $400.46 |
| 85018 | <1% | 282 | $371.74 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | $272.32 |
| 82948 | <1% | 129 | $239.10 | |
| 90656 | <1% | 92 | $220.44 | |
| 90620 | <1% | 34 | $216.89 | |
| 87210 | <1% | 149 | $137.92 | |
| 90723 | <1% | 333 | $120.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 20 | $104.66 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $89.19 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 317 | $82.17 |
| 83655 | <1% | 16 | $79.87 | |
| 90633 | <1% | 102 | $25.00 | |
| 90648 | <1% | 633 | $23.09 | |
| 90707 | 0% | 29 | $0.00 | |
| 90710 | 0% | 29 | $0.00 | |
| 90681 | 0% | 88 | $0.00 | |
| D0270 | 0% | 12 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 90677 | 0% | 50 | $0.00 | |
| 76801 | 0% | 18 | $0.00 | |
| 90697 | 0% | 27 | $0.00 | |
| 82962 | 0% | 32 | $0.00 | |
| 36416 | 0% | 15 | $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 officialELLIOTT, HOAGLAND (EXECUTIVE DIRECTOR)