Clinic
Good Samaritan Family Health Center, INC
Good Samaritan Family Health Center, INC was paid $1.37M by Medicaid between Jul 2023 and Nov 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 45% of everything it billed.
33Billing provider infoGOOD SAMARITAN FAMILY HEALTH CENTER, INC
VINCENNES, IN 47591
VINCENNES, IN 47591
33aNPI1518676907assigned 11/15/2022
28Total paid$1.37M
24GClaims46,266
24DCodes billed20
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Indiana
Rank by total paid#21 of 63
Median peer was paid$305K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2023 | 15,949 | $490K | |
| 2024incomplete | 30,317 | $884K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 45% | 19,944 | 9,078 | $617K |
| 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 | 17% | 3,669 | 3,225 | $228K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 11% | 10,406 | 1,948 | $156K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.8% | 2,178 | 1,700 | $106K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.6% | 1,928 | 1,589 | $78K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 511 | 463 | $46K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.7% | 408 | 377 | $37K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 481 | 328 | $31K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 577 | 479 | $20K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.5% | 843 | 761 | $20K |
| 96127 | 1.0% | 3,870 | 2,984 | $14K | |
| 99205 | Prolong outpt/office vis | <1% | 30 | 29 | $6K |
8 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 702 | $5K |
| 99417 | Prolong home eval add 15m | <1% | 76 | $4K |
| 80305 | <1% | 361 | $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 | <1% | 56 | $1K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 47 | $218.68 |
| 97810 | <1% | 84 | $136.55 | |
| 97811 | <1% | 80 | $123.60 | |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 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 officialEMMONS, JENNIFER (CEO)
Parent organization-
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.