Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Hammond › NPI 1609231927
Clinic

Southlake Community Mental Health Center, INC

Southlake Community Mental Health Center, INC was paid $1.38M by Medicaid between Jan 2018 and Nov 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoSOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC
HAMMOND, IN 46327
33aNPI1609231927assigned 12/31/2015
28Total paid$1.38M
24GClaims50,663
24DCodes billed58
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Indiana

Rank by total paid#54 of 156
Median peer was paid$568K
This provider vs. median2.4×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20184,588$70K
20195,170$198K
20204,917$186K
20218,668$263K
20228,745$246K
202311,312$266K
2024incomplete7,263$154K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 5,093 3,825 $317K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 6,640 5,033 $317K
D9999 Unspecified adjunctive procedure, by report 9.1% 5,331 4,090 $126K
D0274 Bitewings - four radiographic images 5.1% 2,257 2,013 $71K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 4.5% 8,006 6,129 $62K
D0140 Limited oral evaluation - problem focused 4.0% 1,488 1,294 $55K
D7140 Extraction, erupted tooth or exposed root 3.9% 704 432 $55K
99401 3.6% 2,608 2,026 $50K
D1110 Prophylaxis - adult 3.5% 1,176 1,029 $49K
D0150 Comprehensive oral evaluation - new or established patient 3.1% 1,455 1,310 $43K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.5% 443 355 $34K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 354 269 $25K
46 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.8% 3,183 $25K
D0120 Dental checkup, returning patient 1.7% 1,121 $23K
D0220 Intraoral - periapical first radiographic image 1.5% 1,735 $21K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.5% 279 $20K
90472 Immunization administration, each additional vaccine (list separately) 1.3% 1,305 $18K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 133 $11K
D0230 Intraoral - periapical each additional radiographic image <1% 1,163 $10K
90651 <1% 232 $8K
90686 <1% 763 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 84 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 128 $5K
99204 Doctor's office visit, new patient (more involved) <1% 34 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 52 $3K
36415 Collection of venous blood by venipuncture <1% 1,635 $3K
96127 <1% 1,033 $3K
0001A <1% 71 $2K
99383 <1% 34 $2K
D1206 Topical application of fluoride varnish <1% 69 $2K
0002A <1% 45 $1K
90674 <1% 58 $1K
99384 <1% 15 $1K
90837 Psychotherapy session, about an hour <1% 19 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 17 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 37 $886.62
0071A <1% 54 $855.83
D0210 Intraoral - complete series of radiographic images <1% 69 $714.50
90688 <1% 38 $489.54
83036 Hemoglobin; glycosylated (A1C) <1% 77 $454.67
90670 <1% 55 $397.25
0124A <1% 24 $332.10
81025 <1% 36 $259.06
90685 <1% 98 $248.57
90633 <1% 86 $33.76
99173 <1% 18 $24.70
90744 <1% 14 $0.01
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 0% 16 $0.00
3077F 0% 59 $0.00
90715 0% 14 $0.00
90734 0% 32 $0.00
3078F 0% 13 $0.00
3008F 0% 970 $0.00
3352F 0% 59 $0.00
91307 0% 37 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 35 $0.00
3074F 0% 29 $0.00
3079F 0% 30 $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 officialKRUMWIED, ROBERT (CEO)
Same official

Other billing entities under KRUMWIED, ROBERT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.