Medicaid Provider Spending

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

MAJOR HOSPITAL

NPI: 1558870279 · SHELBYVILLE, IN 46176 · Rural Health Clinic/Center · NPI assigned 09/26/2017

$7.73M
Total Medicaid Paid
256,211
Total Claims
161,053
Beneficiaries
50
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHENE, MARY (PFS DIRECTOR)
NPI Enumeration Date09/26/2017

Related Entities

Other providers sharing the same authorized official: SCHENE, MARY

ProviderCityStateTotal Paid
MAJOR HOSPITAL SHELBYVILLE IN $9.58M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 28,743 $948K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,185 36,334 $2.77M
T1015 Clinic visit/encounter, all-inclusive 83,224 47,063 $1.47M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,176 6,846 $724K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,210 6,532 $706K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,915 5,405 $566K
90472 Immunization administration, each additional vaccine (list separately) 15,777 10,668 $342K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,386 3,026 $299K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23,808 16,452 $274K
90834 Psychotherapy, 45 minutes with patient 2,466 1,214 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,297 882 $91K
87428 2,144 1,310 $58K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,875 3,037 $57K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,429 1,392 $52K
90832 Psychotherapy, 30 minutes with patient 1,543 671 $49K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,271 693 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,002 518 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 534 352 $15K
90791 Psychiatric diagnostic evaluation 212 112 $14K
99307 2,201 1,354 $11K
83655 859 565 $8K
90474 431 266 $6K
96127 1,782 1,198 $5K
87807 549 307 $5K
90686 5,447 4,197 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 750 618 $3K
90837 Psychotherapy, 53 minutes with patient 39 29 $2K
81002 885 709 $2K
90670 3,635 2,405 $2K
85018 973 619 $2K
90723 2,101 1,380 $914.02
0072A 17 17 $632.57
0071A 34 34 $632.57
99188 50 25 $440.58
80061 Lipid panel 40 26 $253.94
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 45 32 $235.20
90648 4,643 3,093 $124.58
G0444 Annual depression screening, 5 to 15 minutes 32 30 $90.51
90473 13 12 $88.00
99173 75 67 $47.78
99308 Subsequent nursing facility care, per day, straightforward 15 15 $37.00
90677 439 396 $0.00
91307 55 55 $0.00
90381 14 14 $0.00
90651 13 13 $0.00
90671 556 367 $0.00
90681 411 255 $0.00
90633 425 297 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 153 99 $0.00
90734 63 40 $0.00
90700 12 12 $0.00