Clinic
Adams County Memorial Hospital
Adams County Memorial Hospital was paid $8.09M by Medicaid between Jan 2018 and Nov 2024, across 116 billing codes. Its largest line is 99283, emergency room visit (moderate) — 34% of everything it billed.
33Billing provider infoADAMS COUNTY MEMORIAL HOSPITAL
DECATUR, IN 46733
DECATUR, IN 46733
33aNPI1689696148assigned 07/24/2006
33bProvider typeClinic/Center
28Total paid$8.09M
24GClaims176,470
24DCodes billed116
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Indiana
Rank by total paid#6 of 53
Median peer was paid$101K
This provider vs. median80×
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 | 20,698 | $393K | |
| 2019 | 24,725 | $802K | |
| 2020 | 22,775 | $865K | |
| 2021 | 31,646 | $1.44M | |
| 2022 | 30,532 | $1.68M | |
| 2023 | 27,815 | $1.69M | |
| 2024incomplete | 18,279 | $1.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 34% | 27,658 | 17,095 | $2.73M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 28,149 | 21,481 | $1.09M |
| 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 | 12% | 20,075 | 14,415 | $1.01M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.3% | 5,863 | 4,327 | $507K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.1% | 11,804 | 6,025 | $495K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.0% | 4,237 | 3,253 | $484K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3.4% | 2,258 | 1,571 | $273K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.2% | 529 | 234 | $257K |
| A0425 | Ground mileage, per statute mile | 2.7% | 6,010 | 3,748 | $220K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 1,759 | 1,096 | $108K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | 1.2% | 590 | 467 | $99K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.0% | 1,286 | 1,093 | $82K |
104 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.0% | 2,654 | $81K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,406 | $49K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,170 | $44K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 10,140 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 444 | $35K |
| 71045 | Radiologic examination, chest; single view | <1% | 221 | $34K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 728 | $33K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 412 | $31K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 200 | $26K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,748 | $26K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 320 | $25K |
| 80053 | Comprehensive metabolic panel | <1% | 4,967 | $23K |
| 20553 | <1% | 922 | $22K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 659 | $21K |
| 99285 | Emergency room visit (most serious) | <1% | 203 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,005 | $18K |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,518 | $17K |
| 20610 | <1% | 847 | $17K | |
| 80050 | General health panel | <1% | 89 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 178 | $15K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 756 | $14K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 139 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 108 | $11K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 45 | $8K |
| 90837 | Psychotherapy session, about an hour | <1% | 58 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 469 | $7K |
| 59425 | <1% | 152 | $7K | |
| 83605 | <1% | 957 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 62 | $5K |
| 80061 | Lipid panel | <1% | 824 | $5K |
| 94060 | <1% | 191 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 372 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 367 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 64 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,064 | $4K |
| 90688 | <1% | 451 | $3K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 107 | $3K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 476 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 601 | $3K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 966 | $2K |
| 81001 | <1% | 1,343 | $2K | |
| 59426 | <1% | 23 | $2K | |
| 81003 | <1% | 1,339 | $2K | |
| 86140 | <1% | 488 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 230 | $2K |
| 84484 | <1% | 302 | $2K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 75 | $1K |
| 93000 | <1% | 37 | $1K | |
| 83735 | <1% | 302 | $1K | |
| 84439 | <1% | 171 | $1K | |
| 90686 | <1% | 312 | $1K | |
| 99442 | <1% | 88 | $1K | |
| 97162 | <1% | 29 | $948.79 | |
| 87634 | <1% | 14 | $912.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 443 | $874.23 |
| 83721 | <1% | 124 | $837.32 | |
| 84145 | <1% | 128 | $726.10 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $708.85 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 21 | $708.49 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 883 | $595.09 |
| 94726 | <1% | 82 | $438.91 | |
| 90670 | <1% | 104 | $405.23 | |
| 83655 | <1% | 33 | $379.21 | |
| 94729 | <1% | 80 | $315.82 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 60 | $285.35 |
| 82553 | <1% | 136 | $281.77 | |
| 83690 | <1% | 75 | $265.96 | |
| 82550 | <1% | 139 | $250.27 | |
| 83880 | <1% | 13 | $198.31 | |
| 85027 | <1% | 43 | $197.64 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 16 | $170.10 |
| 87420 | <1% | 15 | $157.18 | |
| 87807 | <1% | 15 | $153.45 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 17 | $147.42 |
| 84703 | <1% | 19 | $130.10 | |
| 80051 | <1% | 124 | $128.13 | |
| 82565 | <1% | 131 | $111.49 | |
| J3490 | Unclassified drugs | <1% | 31 | $85.52 |
| 84520 | <1% | 116 | $81.72 | |
| 80076 | <1% | 14 | $81.70 | |
| 90723 | <1% | 41 | $81.55 | |
| 82010 | <1% | 13 | $53.40 | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 860 | $48.50 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 42 | $46.47 |
| 82150 | <1% | 30 | $29.66 | |
| 82248 | <1% | 14 | $22.20 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 52 | $20.19 |
| 90648 | <1% | 82 | $10.93 | |
| 81025 | <1% | 23 | $9.24 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 147 | $8.81 |
| J2704 | Injection, propofol, 10 mg | 0% | 722 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 203 | $0.00 |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 353 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 68 | $0.00 |
| 88342 | 0% | 40 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 30 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 47 | $0.00 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 51 | $0.00 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 0% | 21 | $0.00 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 2,193 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 419 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 49 | $0.00 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 53 | $0.00 |
| 90633 | 0% | 12 | $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 officialWHEELER, DANE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Adams County Memorial Hospital | Fort Wayne, IN | $3.24M |
| Adams County Memorial Hospital | South Bend, IN | $498K |
| Adams County Memorial Hospital | Monroe, IN | $436K |
| Adams County Memorial Hospital | Berne, IN | $367K |
| Adams County Memorial Hospital | Decatur, IN | $296K |
| Adams County Memorial Hospital | Bluffton, IN | $261K |
| Adams County Memorial Hospital | Decatur, IN | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.