NPI: 1548509995 · INDIANAPOLIS, IN 46202 · 261QF0400X
| Year | Claims | Total 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 |
| 2024 | 43,232 | $1.48M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assist living waiver/diem | 5,061 | 3,007 | $6.64M |
| T1015 | Clinic service | 78,410 | 64,537 | $1.96M |
| 99213 | 39,789 | 34,558 | $1.92M | |
| 99214 | 24,353 | 20,545 | $1.34M | |
| 99392 | 15,516 | 13,620 | $1.29M | |
| 99391 | 15,159 | 12,995 | $1.13M | |
| 99393 | 6,714 | 5,774 | $555K | |
| 90472 | 24,322 | 20,799 | $437K | |
| 90471 | 42,441 | 35,853 | $420K | |
| 99394 | 3,746 | 3,205 | $312K | |
| G0467 | Fqhc visit, estab pt | 4,868 | 3,924 | $113K |
| 99212 | 2,383 | 2,142 | $82K | |
| 90832 | 2,061 | 1,603 | $65K | |
| 90677 | 881 | 827 | $37K | |
| 99381 | 816 | 766 | $36K | |
| 90474 | 3,553 | 3,090 | $35K | |
| 90674 | 4,803 | 4,055 | $33K | |
| 90834 | 616 | 484 | $30K | |
| 83036 | 5,495 | 4,713 | $27K | |
| 99203 | 341 | 302 | $15K | |
| 96110 | 2,440 | 2,157 | $15K | |
| 36415 | 7,211 | 6,062 | $11K | |
| 90792 | 85 | 78 | $10K | |
| 90837 | 100 | 87 | $9K | |
| 0124A | 402 | 255 | $8K | |
| 99204 | 104 | 91 | $8K | |
| 97802 | 408 | 239 | $8K | |
| 99215 | Prolong outpt/office vis | 69 | 66 | $6K |
| G2025 | Dis site tele svcs rhc/fqhc | 1,326 | 428 | $6K |
| 97803 | 275 | 227 | $6K | |
| 0002A | 122 | 122 | $4K | |
| 0072A | 119 | 117 | $4K | |
| 85610 | 2,381 | 1,350 | $4K | |
| 90480 | 401 | 168 | $4K | |
| 0001A | 95 | 93 | $3K | |
| 99395 | 37 | 28 | $3K | |
| 99396 | 27 | 25 | $3K | |
| 59425 | 42 | 24 | $2K | |
| 0071A | 41 | 40 | $1K | |
| 90791 | 18 | 14 | $1K | |
| 0054A | 41 | 39 | $1K | |
| 90694 | 83 | 78 | $982.08 | |
| 0004A | 30 | 28 | $930.25 | |
| 90670 | 10,123 | 8,767 | $729.43 | |
| 99211 | 78 | 65 | $667.93 | |
| 90661 | 323 | 320 | $593.41 | |
| 90715 | 241 | 184 | $555.66 | |
| 99202 | 28 | 28 | $544.00 | |
| 87428 | 17 | 17 | $534.48 | |
| 80305 | 84 | 54 | $485.83 | |
| 90686 | 12,142 | 9,953 | $484.70 | |
| 0081A | 15 | 14 | $479.70 | |
| 0052A | 15 | 12 | $442.80 | |
| 0074A | 14 | 14 | $442.80 | |
| 90620 | 409 | 328 | $234.15 | |
| 90723 | 6,321 | 5,406 | $221.45 | |
| 86703 | 43 | 34 | $195.26 | |
| 90681 | 3,679 | 3,190 | $149.00 | |
| 90647 | 6,090 | 5,234 | $121.88 | |
| 90707 | 520 | 466 | $93.73 | |
| 90633 | 4,251 | 3,645 | $87.30 | |
| 81002 | 27 | 27 | $68.33 | |
| 99441 | 57 | 49 | $36.82 | |
| 99446 | 12 | 12 | $34.72 | |
| 90651 | 1,952 | 1,668 | $10.49 | |
| 99442 | 66 | 61 | $0.00 | |
| 90685 | 439 | 336 | $0.00 | |
| 90734 | 988 | 799 | $0.00 | |
| 90710 | 261 | 220 | $0.00 | |
| 90700 | 369 | 344 | $0.00 | |
| 91320 | 309 | 109 | $0.00 | |
| G0444 | Depression screen annual | 21 | 12 | $0.00 |
| 90653 | 15 | 12 | $0.00 | |
| D0220 | 61 | 46 | $0.00 | |
| D0145 | 59 | 45 | $0.00 | |
| D1120 | 187 | 137 | $0.00 | |
| D0330 | 58 | 46 | $0.00 | |
| 90696 | 197 | 174 | $0.00 | |
| D9999 | 460 | 378 | $0.00 | |
| 90716 | 406 | 365 | $0.00 | |
| 90697 | 1,748 | 1,581 | $0.00 | |
| G0008 | Admin influenza virus vac | 401 | 357 | $0.00 |
| D1206 | 158 | 119 | $0.00 | |
| 90698 | 60 | 53 | $0.00 | |
| 90732 | 15 | 14 | $0.00 | |
| D0150 | 44 | 32 | $0.00 | |
| D0140 | 88 | 67 | $0.00 | |
| D0120 | 39 | 35 | $0.00 |