Clinic
Major Hospital
Major Hospital was paid $7.73M by Medicaid between Feb 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMAJOR HOSPITAL
SHELBYVILLE, IN 46176
SHELBYVILLE, IN 46176
33aNPI1558870279assigned 09/26/2017
33bProvider typeRural Health Clinic/Center
28Total paid$7.73M
24GClaims256,211
24DCodes billed50
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Indiana
Rank by total paid#4 of 82
Median peer was paid$379K
This provider vs. median20×
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 | 5,929 | $171K | |
| 2019 | 20,303 | $626K | |
| 2020 | 20,775 | $740K | |
| 2021 | 50,207 | $1.61M | |
| 2022 | 71,487 | $1.94M | |
| 2023 | 58,767 | $1.69M | |
| 2024incomplete | 28,743 | $948K |
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 | 36% | 56,185 | 36,334 | $2.77M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 19% | 83,224 | 47,063 | $1.47M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 10,176 | 6,846 | $724K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 10,210 | 6,532 | $706K |
| 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 | 7.3% | 7,915 | 5,405 | $566K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 15,777 | 10,668 | $342K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 4,386 | 3,026 | $299K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 23,808 | 16,452 | $274K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.6% | 2,466 | 1,214 | $122K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 1,297 | 882 | $91K |
| 87428 | <1% | 2,144 | 1,310 | $58K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,875 | 3,037 | $57K |
38 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,429 | $52K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,543 | $49K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,271 | $36K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,002 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 534 | $15K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 212 | $14K |
| 99307 | <1% | 2,201 | $11K | |
| 83655 | <1% | 859 | $8K | |
| 90474 | <1% | 431 | $6K | |
| 96127 | <1% | 1,782 | $5K | |
| 87807 | <1% | 549 | $5K | |
| 90686 | <1% | 5,447 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 750 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 39 | $2K |
| 81002 | <1% | 885 | $2K | |
| 90670 | <1% | 3,635 | $2K | |
| 85018 | <1% | 973 | $2K | |
| 90723 | <1% | 2,101 | $914.02 | |
| 0072A | <1% | 17 | $632.57 | |
| 0071A | <1% | 34 | $632.57 | |
| 99188 | <1% | 50 | $440.58 | |
| 80061 | Lipid panel | <1% | 40 | $253.94 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 45 | $235.20 |
| 90648 | <1% | 4,643 | $124.58 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 32 | $90.51 |
| 90473 | <1% | 13 | $88.00 | |
| 99173 | <1% | 75 | $47.78 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 15 | $37.00 |
| 90677 | 0% | 439 | $0.00 | |
| 91307 | 0% | 55 | $0.00 | |
| 90381 | 0% | 14 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90671 | 0% | 556 | $0.00 | |
| 90681 | 0% | 411 | $0.00 | |
| 90633 | 0% | 425 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 153 | $0.00 |
| 90734 | 0% | 63 | $0.00 | |
| 90700 | 0% | 12 | $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 officialSCHENE, MARY (PFS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Major Hospital | Shelbyville, IN | $9.58M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.