SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC

NPI: 1700909348 · MARENGO, IN 47140 · Family Medicine Physician · NPI assigned 04/09/2007

$31K

Total Medicaid Paid

1,633

Total Claims

1,081

Beneficiaries

Codes Billed

2018-01

First Month

2022-03

Last Month

Provider Details

Authorized Official	JONES, TONYA (BILLING MANAGER)
NPI Enumeration Date	04/09/2007

Other providers sharing the same authorized official: JONES, TONYA

Provider	City	State	Total Paid
MEDICAL RESPONSE TRANSPORTATION	MADISON	TN	$1.33M
COMPLETE FAMILY WELLNESS AND URGENT CARE	LINDSAY	OK	$262K
SOUTHERN INDIANA COMMUNITY HEALTH CARE	PAOLI	IN	$79K
NEW HORIZONS COUNSELING CENTER, PLLC.	GREENSBORO	NC	$41K
DR ROY C TURNER OPTOMETRIST PA	EDEN	NC	$20K

Year	Claims	Total Paid
2018	1,619	$31K
2022	14	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,041	753	$22K
T1015	Clinic visit/encounter, all-inclusive	179	120	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	104	72	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	14	14	$229.08
99308	Subsequent nursing facility care, per day, straightforward	269	97	$99.32
36415	Collection of venous blood by venipuncture	26	25	$0.00