Physician
Franciscan Health Indianapolis & Mooresville
Franciscan Health Indianapolis & Mooresville was paid $6.79M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoFRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE
INDIANAPOLIS, IN 46237
INDIANAPOLIS, IN 46237
33aNPI1548458409assigned 10/04/2007
33bProvider typeFamily Medicine Physician
28Total paid$6.79M
24GClaims205,398
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#8 of 408
Median peer was paid$81K
This provider vs. median84×
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 | 25,230 | $510K | |
| 2019 | 24,839 | $972K | |
| 2020 | 24,916 | $901K | |
| 2021 | 25,731 | $1.11M | |
| 2022 | 25,465 | $1.12M | |
| 2023 | 45,802 | $1.16M | |
| 2024incomplete | 33,415 | $1.01M |
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 | 24% | 26,582 | 23,331 | $1.60M |
| 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 | 19% | 14,413 | 12,691 | $1.28M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 11,565 | 9,568 | $948K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 6,747 | 6,335 | $576K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 3,722 | 3,582 | $318K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 13,558 | 10,068 | $237K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 19,632 | 17,852 | $228K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.5% | 3,644 | 3,251 | $171K |
| 99460 | 2.5% | 2,777 | 2,516 | $170K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 1,747 | 1,659 | $151K |
| 59425 | 1.9% | 1,781 | 1,296 | $128K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 1,172 | 1,092 | $115K |
80 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 2,519 | $102K |
| 54150 | 1.1% | 810 | $74K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 648 | $71K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 569 | $68K |
| 90474 | <1% | 4,470 | $54K | |
| 99219 | <1% | 576 | $54K | |
| 59426 | <1% | 974 | $52K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 587 | $39K |
| 99217 | <1% | 723 | $36K | |
| 90677 | <1% | 665 | $35K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 664 | $33K |
| 90651 | <1% | 1,285 | $29K | |
| 90715 | <1% | 1,559 | $28K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 571 | $25K |
| 90686 | <1% | 5,797 | $23K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,354 | $21K |
| 99462 | <1% | 756 | $18K | |
| 90739 | <1% | 106 | $15K | |
| 99225 | <1% | 201 | $11K | |
| 81025 | <1% | 1,399 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 550 | $7K |
| 90670 | <1% | 5,524 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 622 | $7K |
| 36416 | <1% | 2,157 | $7K | |
| 90682 | <1% | 135 | $6K | |
| 81003 | <1% | 2,948 | $5K | |
| 85018 | <1% | 1,830 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 44 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 48 | $3K |
| 90656 | <1% | 465 | $2K | |
| 0072A | <1% | 52 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 27 | $2K |
| 90716 | <1% | 1,675 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $2K |
| 90473 | <1% | 181 | $2K | |
| 99442 | <1% | 77 | $1K | |
| 81002 | <1% | 424 | $1K | |
| 0071A | <1% | 39 | $1K | |
| 90707 | <1% | 1,634 | $980.17 | |
| 87807 | <1% | 102 | $862.95 | |
| 90710 | <1% | 625 | $840.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 101 | $822.55 |
| 36415 | Collection of venous blood by venipuncture | <1% | 156 | $807.90 |
| 3044F | <1% | 1,815 | $580.00 | |
| 90671 | <1% | 1,146 | $535.64 | |
| 99173 | <1% | 195 | $367.77 | |
| 93000 | <1% | 27 | $331.17 | |
| 96127 | <1% | 78 | $315.72 | |
| 87210 | <1% | 83 | $253.36 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 20 | $198.98 |
| 96152 | <1% | 20 | $193.77 | |
| 90698 | <1% | 5,853 | $187.57 | |
| 90620 | <1% | 231 | $181.36 | |
| 90734 | <1% | 521 | $175.79 | |
| 90744 | <1% | 3,230 | $152.78 | |
| 90633 | <1% | 3,256 | $139.87 | |
| 90680 | <1% | 4,828 | $113.42 | |
| 3046F | <1% | 33 | $100.00 | |
| 90685 | <1% | 492 | $18.08 | |
| 1111F | 0% | 17 | $0.00 | |
| 3080F | 0% | 541 | $0.00 | |
| 3008F | 0% | 10,051 | $0.00 | |
| 3353F | 0% | 711 | $0.00 | |
| 90696 | 0% | 684 | $0.00 | |
| 3049F | 0% | 150 | $0.00 | |
| 4010F | 0% | 1,390 | $0.00 | |
| 3351F | 0% | 413 | $0.00 | |
| 3079F | 0% | 2,565 | $0.00 | |
| 3074F | 0% | 5,306 | $0.00 | |
| 90619 | 0% | 342 | $0.00 | |
| 3352F | 0% | 482 | $0.00 | |
| 3354F | 0% | 244 | $0.00 | |
| 3060F | 0% | 327 | $0.00 | |
| 90697 | 0% | 1,198 | $0.00 | |
| 3075F | 0% | 1,082 | $0.00 | |
| 3061F | 0% | 104 | $0.00 | |
| 3048F | 0% | 316 | $0.00 | |
| 3078F | 0% | 3,921 | $0.00 | |
| 3077F | 0% | 676 | $0.00 | |
| 3050F | 0% | 49 | $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 officialPHALEN, DONNA (DIRECTOR, ABP)
| Provider | Location | Paid |
|---|---|---|
| Franciscan Physician Network | Indianapolis, IN | $105.95M |
| Franciscan Physician Network | Mishawaka, IN | $16.17M |
| Indiana Blood and Marrow Transplantation LLC | Indianapolis, IN | $55K |
| GLHS Anesthesia Group | Lafayette, IN | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.