Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOOD SAMARITAN FAMILY HEALTH CENTER, INC

NPI: 1518676907 · VINCENNES, IN 47591 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 11/15/2022

$1.37M
Total Medicaid Paid
46,266
Total Claims
23,939
Beneficiaries
20
Codes Billed
2023-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEMMONS, JENNIFER (CEO)
Parent Organization-
NPI Enumeration Date11/15/2022

Related Entities

Other providers sharing the same authorized official: EMMONS, JENNIFER

ProviderCityStateTotal Paid
GOOD SAMARITAN FAMILY HEALTH CENTER, INC VINCENNES IN $2.78M
GOOD SAMARITAN FAMILY HEALTH CENTER, INC. VINCENNES IN $2.57M
GOOD SAMARITAN FAMILY HEALTH CENTER, INC VINCENNES IN $676K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC WASHINGTON IN $465K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC. PETERSBURG IN $213K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC LOOGOOTEE IN $117K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC VINCENNES IN $23K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC BRUCEVILLE IN $2K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC. VINCENNES IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 15,949 $490K
2024 30,317 $884K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 19,944 9,078 $617K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,669 3,225 $228K
90853 Group psychotherapy (other than of a multiple-family group) 10,406 1,948 $156K
90834 Psychotherapy, 45 minutes with patient 2,178 1,700 $106K
90832 Psychotherapy, 30 minutes with patient 1,928 1,589 $78K
99215 Prolong outpt/office vis 511 463 $46K
90791 Psychiatric diagnostic evaluation 408 377 $37K
90837 Psychotherapy, 53 minutes with patient 481 328 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 577 479 $20K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 843 761 $20K
96127 3,870 2,984 $14K
99205 Prolong outpt/office vis 30 29 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 702 585 $5K
99417 Prolong home eval add 15m 76 74 $4K
80305 361 169 $3K
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 56 40 $1K
H0038 Self-help/peer services, per 15 minutes 47 21 $218.68
97810 84 39 $136.55
97811 80 38 $123.60
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 15 12 $0.00