FAIRBANKS HOSPITAL, INC.
NPI: 1619072493
· INDIANAPOLIS, IN 46256
· 207RA0401X
$18.54M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,276 |
$401K |
| 2019 |
10,287 |
$1.51M |
| 2020 |
13,404 |
$2.29M |
| 2021 |
18,824 |
$3.57M |
| 2022 |
18,116 |
$3.40M |
| 2023 |
20,870 |
$3.71M |
| 2024 |
17,657 |
$3.66M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0010 |
Alcohol and/or drug services |
37,865 |
2,734 |
$12.89M |
| H0035 |
Mh partial hosp tx under 24h |
12,234 |
1,350 |
$2.06M |
| 90853 |
|
13,257 |
3,277 |
$998K |
| 90899 |
|
4,384 |
417 |
$770K |
| 99211 |
|
3,215 |
2,517 |
$391K |
| 99222 |
|
2,994 |
2,902 |
$286K |
| 99233 |
Prolong inpt eval add15 m |
3,467 |
3,010 |
$241K |
| 99239 |
|
2,197 |
2,103 |
$173K |
| 99231 |
|
5,026 |
3,359 |
$152K |
| 80305 |
|
16,038 |
7,337 |
$144K |
| G0463 |
Hospital outpt clinic visit |
1,268 |
914 |
$118K |
| 90791 |
|
742 |
703 |
$97K |
| 99232 |
|
1,330 |
1,110 |
$70K |
| 96372 |
|
926 |
733 |
$53K |
| 80307 |
|
1,941 |
671 |
$26K |
| 82075 |
|
1,043 |
788 |
$25K |
| 99213 |
|
920 |
740 |
$20K |
| G0480 |
Drug test def 1-7 classes |
125 |
60 |
$6K |
| 90792 |
|
103 |
98 |
$6K |
| 99238 |
|
100 |
97 |
$6K |
| C7901 |
Hopd mntl hlt, 30-60 min |
153 |
54 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
56 |
55 |
$2K |
| 99221 |
|
23 |
23 |
$2K |
| 80321 |
|
27 |
13 |
$504.95 |