Clinic
Mso Clinics, INC.
Mso Clinics, INC. was paid $512K by Medicaid between Jan 2018 and Sep 2020, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoMSO CLINICS, INC.
SULLIVAN, IN 47882
SULLIVAN, IN 47882
33aNPI1619396728assigned 04/16/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$512K
24GClaims14,789
24DCodes billed23
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Primary Care Clinic/Center providers in Indiana
Rank by total paid#6 of 39
Median peer was paid$19K
This provider vs. median27×
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 | 5,800 | $137K | |
| 2019 | 5,426 | $211K | |
| 2020 | 3,563 | $164K |
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 | 45% | 6,089 | 5,183 | $230K |
| 59425 | 16% | 1,711 | 961 | $81K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 994 | 859 | $78K |
| 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 | 11% | 1,147 | 1,008 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 269 | 241 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 995 | 877 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 1,778 | 1,567 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 29 | 28 | $2K |
| 90686 | <1% | 352 | 293 | $2K | |
| 90670 | <1% | 455 | 402 | $2K | |
| 99219 | <1% | 17 | 14 | $1K | |
| 90632 | <1% | 15 | 12 | $566.04 |
11 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 72 | $389.01 |
| 81003 | <1% | 310 | $331.58 | |
| 99307 | <1% | 179 | $294.11 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 44 | $182.62 |
| 90680 | <1% | 113 | $172.50 | |
| 90633 | <1% | 59 | $43.55 | |
| 90648 | 0% | 41 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 36 | $0.00 |
| 90685 | 0% | 14 | $0.00 | |
| 90723 | 0% | 41 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 29 | $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 officialFRANKLIN, MICHELLE (CEO)
Parent organizationSULLIVAN COUNTY COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Sullivan County Community Hospital | Sullivan, IN | $10.25M |
| Mso Clinics, INC. | Sullivan, IN | $542K |
| Mso Clinics, INC. | Sullivan, IN | $288K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.