NPI: 1629787767 · VINCENNES, IN 47591 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 11/17/2022
| Authorized Official | EMMONS, JENNIFER (CEO) |
| Parent Organization | 82-296684 |
| NPI Enumeration Date | 11/17/2022 |
Other providers sharing the same authorized official: EMMONS, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | VINCENNES | IN | $2.78M |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC. | VINCENNES | IN | $2.57M |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | VINCENNES | IN | $1.37M |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | WASHINGTON | IN | $465K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC. | PETERSBURG | IN | $213K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | LOOGOOTEE | IN | $117K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | VINCENNES | IN | $23K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | BRUCEVILLE | IN | $2K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC. | VINCENNES | IN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 5,138 | $234K |
| 2024 | 7,815 | $442K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 6,423 | 4,930 | $317K |
| 90834 | Psychotherapy, 45 minutes with patient | 2,315 | 1,753 | $112K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,309 | 1,188 | $93K |
| 99215 | Prolong outpt/office vis | 855 | 740 | $84K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 505 | 415 | $28K |
| 90832 | Psychotherapy, 30 minutes with patient | 331 | 287 | $12K |
| 90837 | Psychotherapy, 53 minutes with patient | 220 | 174 | $11K |
| 90791 | Psychiatric diagnostic evaluation | 126 | 112 | $7K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 90 | 89 | $4K |
| 99417 | Prolong home eval add 15m | 157 | 138 | $4K |
| 96127 | 622 | 538 | $2K |