Clinic
Adams County Memorial Hospital
Adams County Memorial Hospital was paid $436K by Medicaid between Nov 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoADAMS COUNTY MEMORIAL HOSPITAL
MONROE, IN 46772
MONROE, IN 46772
33aNPI1508375510assigned 09/21/2017
33bProvider typeRural Health Clinic/Center
28Total paid$436K
24GClaims16,589
24DCodes billed13
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Indiana
Rank by total paid#39 of 82
Median peer was paid$379K
This provider vs. median1.1×
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 | 92 | $757.60 | |
| 2019 | 513 | $8K | |
| 2020 | 916 | $17K | |
| 2021 | 2,143 | $36K | |
| 2022 | 4,005 | $104K | |
| 2023 | 4,881 | $146K | |
| 2024incomplete | 4,039 | $124K |
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 | 48% | 3,042 | 2,491 | $209K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,952 | 1,527 | $98K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 16% | 7,071 | 5,519 | $71K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 9.1% | 2,533 | 1,848 | $40K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.8% | 1,076 | 683 | $12K |
| 99310 | Prolong nursin fac eval 15m | <1% | 103 | 66 | $2K |
| 99307 | <1% | 104 | 97 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 199 | 185 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 399 | 211 | $498.70 |
| 90686 | <1% | 16 | 14 | $131.68 | |
| 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% | 69 | 57 | $0.02 |
1 more codes
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 12 | $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 officialWHEELER, DANE (CFO/TREASURER)
| Provider | Location | Paid |
|---|---|---|
| Adams County Memorial Hospital | Decatur, IN | $8.09M |
| Adams County Memorial Hospital | Fort Wayne, IN | $3.24M |
| Adams County Memorial Hospital | South Bend, IN | $498K |
| Adams County Memorial Hospital | Berne, IN | $367K |
| Adams County Memorial Hospital | Decatur, IN | $296K |
| Adams County Memorial Hospital | Bluffton, IN | $261K |
| Adams County Memorial Hospital | Decatur, IN | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.