Medicaid Provider Spending

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

THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

NPI: 1548509995 · INDIANAPOLIS, IN 46202 · Federally Qualified Health Center (FQHC) · NPI assigned 02/05/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SCOTT, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$16.60M
Total Medicaid Paid
350,075
Total Claims
293,444
Beneficiaries
88
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSCOTT, CHRISTOPHER (CHIEF CLINICAL OPERATING OFFICER)
NPI Enumeration Date02/05/2013

Related Entities

Other providers sharing the same authorized official: SCOTT, CHRISTOPHER

ProviderCityStateTotal Paid
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $231.53M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $46.97M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $30.19M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $17.31M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $15.58M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $8.91M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $8.44M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $6.85M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $6.79M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $5.03M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $3.25M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $2.70M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $1.72M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $1.11M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $873K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $475K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $309K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $266K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $211K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $178K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 5,061 3,007 $6.64M
T1015 Clinic visit/encounter, all-inclusive 78,410 64,537 $1.96M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,789 34,558 $1.92M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,353 20,545 $1.34M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15,516 13,620 $1.29M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15,159 12,995 $1.13M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,714 5,774 $555K
90472 Immunization administration, each additional vaccine (list separately) 24,322 20,799 $437K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42,441 35,853 $420K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,746 3,205 $312K
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 4,868 3,924 $113K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,383 2,142 $82K
90832 Psychotherapy, 30 minutes with patient 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 Psychotherapy, 45 minutes with patient 616 484 $30K
83036 Hemoglobin; glycosylated (A1C) 5,495 4,713 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 341 302 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,440 2,157 $15K
36415 Collection of venous blood by venipuncture 7,211 6,062 $11K
90792 Psychiatric diagnostic evaluation with medical services 85 78 $10K
90837 Psychotherapy, 53 minutes with patient 100 87 $9K
0124A 402 255 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 104 91 $8K
97802 408 239 $8K
99215 Prolong outpt/office vis 69 66 $6K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 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 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 37 28 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 27 25 $3K
59425 42 24 $2K
0071A 41 40 $1K
90791 Psychiatric diagnostic evaluation 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 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 78 65 $667.93
90661 323 320 $593.41
90715 241 184 $555.66
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 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 Annual depression screening, 5 to 15 minutes 21 12 $0.00
90653 15 12 $0.00
D0220 Intraoral - periapical first radiographic image 61 46 $0.00
D0145 Oral evaluation for a patient under three years of age 59 45 $0.00
D1120 Prophylaxis - child 187 137 $0.00
D0330 Panoramic radiographic image 58 46 $0.00
90696 197 174 $0.00
D9999 Unspecified adjunctive procedure, by report 460 378 $0.00
90716 406 365 $0.00
90697 1,748 1,581 $0.00
G0008 Administration of influenza virus vaccine 401 357 $0.00
D1206 Topical application of fluoride varnish 158 119 $0.00
90698 60 53 $0.00
90732 15 14 $0.00
D0150 Comprehensive oral evaluation - new or established patient 44 32 $0.00
D0140 Limited oral evaluation - problem focused 88 67 $0.00
D0120 Periodic oral evaluation - established patient 39 35 $0.00