Physician
Knox Winamac Community Health Centers INC
Knox Winamac Community Health Centers INC was paid $1.98M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoKNOX WINAMAC COMMUNITY HEALTH CENTERS INC
KNOX, IN 46534
KNOX, IN 46534
33aNPI1629248919assigned 03/03/2008
33bProvider typeFamily Medicine Physician
28Total paid$1.98M
24GClaims87,529
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#37 of 408
Median peer was paid$81K
This provider vs. median24×
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 | 12,126 | $210K | |
| 2019 | 11,152 | $306K | |
| 2020 | 10,697 | $273K | |
| 2021 | 14,822 | $328K | |
| 2022 | 17,696 | $305K | |
| 2023 | 13,123 | $324K | |
| 2024incomplete | 7,913 | $236K |
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 | 66% | 40,197 | 28,408 | $1.30M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 11% | 12,449 | 7,710 | $227K |
| 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 | 9.8% | 4,670 | 3,311 | $193K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.3% | 18,734 | 12,886 | $145K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 723 | 457 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,076 | 762 | $29K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,074 | 862 | $17K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 135 | 107 | $13K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 272 | 200 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 34 | 26 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 35 | 27 | $2K |
| 90686 | <1% | 171 | 114 | $2K |
34 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 39 | $2K |
| 90756 | <1% | 167 | $1K | |
| 90674 | <1% | 88 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 313 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 90 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 94 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 77 | $958.73 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 54 | $665.27 |
| 3008F | <1% | 3,845 | $121.63 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 44 | $97.98 |
| 96160 | <1% | 46 | $31.08 | |
| 1220F | 0% | 407 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 1000F | 0% | 647 | $0.00 | |
| 3079F | 0% | 34 | $0.00 | |
| 1034F | 0% | 29 | $0.00 | |
| 4000F | 0% | 26 | $0.00 | |
| 97802 | 0% | 348 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 29 | $0.00 |
| 3074F | 0% | 118 | $0.00 | |
| 1125F | 0% | 27 | $0.00 | |
| 2010F | 0% | 43 | $0.00 | |
| 3080F | 0% | 22 | $0.00 | |
| 1036F | 0% | 17 | $0.00 | |
| 3077F | 0% | 106 | $0.00 | |
| 3078F | 0% | 158 | $0.00 | |
| 3725F | 0% | 866 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 38 | $0.00 |
| 1159F | 0% | 25 | $0.00 | |
| 97803 | 0% | 26 | $0.00 | |
| 96152 | 0% | 17 | $0.00 | |
| 99072 | 0% | 77 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 13 | $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 officialROBB, KATHY (CHIEF EXECUTIVE OFFICER)