The Health and Hospital Corporation of Marion County
The Health and Hospital Corporation of Marion County was paid $16.60M by Medicaid between Jan 2018 and Nov 2024, across 88 billing codes. Its largest line is T2031, Assisted living; waiver, per diem — 40% of everything it billed.
INDIANAPOLIS, IN 46202
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 45,944 | $2.79M | |
| 2019 | 44,192 | $2.86M | |
| 2020 | 33,473 | $2.77M | |
| 2021 | 61,326 | $3.16M | |
| 2022 | 63,018 | $1.70M | |
| 2023 | 58,890 | $1.83M | |
| 2024incomplete | 43,232 | $1.48M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 40% | 5,061 | 3,007 | $6.64M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 12% | 78,410 | 64,537 | $1.96M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 39,789 | 34,558 | $1.92M |
| 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 | 8.1% | 24,353 | 20,545 | $1.34M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 15,516 | 13,620 | $1.29M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 15,159 | 12,995 | $1.13M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 6,714 | 5,774 | $555K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.6% | 24,322 | 20,799 | $437K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 42,441 | 35,853 | $420K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 3,746 | 3,205 | $312K |
| 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% | 4,868 | 3,924 | $113K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,383 | 2,142 | $82K |
76 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,061 | $65K |
| 90677 | <1% | 881 | $37K | |
| 99381 | <1% | 816 | $36K | |
| 90474 | <1% | 3,553 | $35K | |
| 90674 | <1% | 4,803 | $33K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 616 | $30K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,495 | $27K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 341 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,440 | $15K |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,211 | $11K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 85 | $10K |
| 90837 | Psychotherapy session, about an hour | <1% | 100 | $9K |
| 0124A | <1% | 402 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 104 | $8K |
| 97802 | <1% | 408 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 69 | $6K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,326 | $6K |
| 97803 | <1% | 275 | $6K | |
| 0002A | <1% | 122 | $4K | |
| 0072A | <1% | 119 | $4K | |
| 85610 | <1% | 2,381 | $4K | |
| 90480 | <1% | 401 | $4K | |
| 0001A | <1% | 95 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 37 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | $3K |
| 59425 | <1% | 42 | $2K | |
| 0071A | <1% | 41 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 18 | $1K |
| 0054A | <1% | 41 | $1K | |
| 90694 | <1% | 83 | $982.08 | |
| 0004A | <1% | 30 | $930.25 | |
| 90670 | <1% | 10,123 | $729.43 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 78 | $667.93 |
| 90661 | <1% | 323 | $593.41 | |
| 90715 | <1% | 241 | $555.66 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | $544.00 |
| 87428 | <1% | 17 | $534.48 | |
| 80305 | <1% | 84 | $485.83 | |
| 90686 | <1% | 12,142 | $484.70 | |
| 0081A | <1% | 15 | $479.70 | |
| 0052A | <1% | 15 | $442.80 | |
| 0074A | <1% | 14 | $442.80 | |
| 90620 | <1% | 409 | $234.15 | |
| 90723 | <1% | 6,321 | $221.45 | |
| 86703 | <1% | 43 | $195.26 | |
| 90681 | <1% | 3,679 | $149.00 | |
| 90647 | <1% | 6,090 | $121.88 | |
| 90707 | <1% | 520 | $93.73 | |
| 90633 | <1% | 4,251 | $87.30 | |
| 81002 | <1% | 27 | $68.33 | |
| 99441 | <1% | 57 | $36.82 | |
| 99446 | <1% | 12 | $34.72 | |
| 90651 | <1% | 1,952 | $10.49 | |
| 99442 | 0% | 66 | $0.00 | |
| 90685 | 0% | 439 | $0.00 | |
| 90734 | 0% | 988 | $0.00 | |
| 90710 | 0% | 261 | $0.00 | |
| 90700 | 0% | 369 | $0.00 | |
| 91320 | 0% | 309 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 21 | $0.00 |
| 90653 | 0% | 15 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 61 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 59 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 187 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 58 | $0.00 |
| 90696 | 0% | 197 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 460 | $0.00 |
| 90716 | 0% | 406 | $0.00 | |
| 90697 | 0% | 1,748 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 401 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 158 | $0.00 |
| 90698 | 0% | 60 | $0.00 | |
| 90732 | 0% | 15 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 44 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 88 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 39 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.