Clinic
Sullivan County Community Hospital
Sullivan County Community Hospital was paid $2.03M by Medicaid between Oct 2020 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoSULLIVAN COUNTY COMMUNITY HOSPITAL
SULLIVAN, IN 47882
SULLIVAN, IN 47882
33aNPI1497363303assigned 07/16/2020
33bProvider typeClinic/Center
28Total paid$2.03M
24GClaims123,236
24DCodes billed52
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Indiana
Rank by total paid#11 of 53
Median peer was paid$101K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2020 | 2,872 | $77K | |
| 2021 | 10,256 | $455K | |
| 2022 | 30,779 | $543K | |
| 2023 | 52,642 | $551K | |
| 2024incomplete | 26,687 | $400K |
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 | 69% | 26,712 | 22,159 | $1.39M |
| 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 | 7.5% | 2,264 | 1,787 | $151K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 1,656 | 1,376 | $131K |
| 59425 | 4.4% | 1,311 | 830 | $89K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 792 | 746 | $69K |
| 87428 | 2.3% | 1,895 | 1,608 | $47K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 1,688 | 1,536 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 2,724 | 2,366 | $33K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 2,328 | 2,047 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 588 | 524 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 131 | 117 | $11K |
| 87430 | <1% | 316 | 281 | $4K |
40 more codes
| 90686 | <1% | 605 | $3K | |
| 59426 | <1% | 30 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 292 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 108 | $1K |
| 90677 | <1% | 245 | $836.36 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 183 | $803.99 |
| 90656 | <1% | 57 | $501.75 | |
| 0001A | <1% | 45 | $387.91 | |
| 0031A | <1% | 99 | $360.00 | |
| 81003 | <1% | 166 | $249.06 | |
| 90670 | <1% | 701 | $230.14 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 15 | $160.12 |
| 99000 | <1% | 64 | $160.01 | |
| 99490 | Ccm add 20min | <1% | 310 | $9.46 |
| 1160F | 0% | 14,251 | $0.00 | |
| 3078F | 0% | 7,222 | $0.00 | |
| 1159F | 0% | 14,253 | $0.00 | |
| 90633 | 0% | 136 | $0.00 | |
| 3725F | 0% | 1,614 | $0.00 | |
| 90648 | 0% | 132 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 222 | $0.00 |
| 91300 | 0% | 53 | $0.00 | |
| 3077F | 0% | 151 | $0.00 | |
| 1036F | 0% | 10,825 | $0.00 | |
| 96127 | 0% | 4,109 | $0.00 | |
| 3008F | 0% | 11,481 | $0.00 | |
| 3079F | 0% | 1,695 | $0.00 | |
| 1034F | 0% | 1,676 | $0.00 | |
| 3074F | 0% | 8,222 | $0.00 | |
| 90680 | 0% | 484 | $0.00 | |
| 1035F | 0% | 306 | $0.00 | |
| 3075F | 0% | 563 | $0.00 | |
| 90723 | 0% | 132 | $0.00 | |
| 3080F | 0% | 39 | $0.00 | |
| 90381 | 0% | 17 | $0.00 | |
| 90698 | 0% | 120 | $0.00 | |
| 90697 | 0% | 67 | $0.00 | |
| 1126F | 0% | 111 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 16 | $0.00 |
| 1125F | 0% | 14 | $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 officialRIDGWAY, JENNIFER (DIRECTOR OF REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Sullivan County Community Hospital | Terre Haute, IN | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.