Clinic
Heart City Health Center, INC.
Heart City Health Center, INC. was paid $6.36M by Medicaid between Jan 2018 and Nov 2024, across 109 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoHEART CITY HEALTH CENTER, INC.
ELKHART, IN 46516
ELKHART, IN 46516
33aNPI1720033418assigned 05/23/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$6.36M
24GClaims295,744
24DCodes billed109
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Indiana
Rank by total paid#1 of 6
Median peer was paid$4K
This provider vs. median1,649×
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 | 68,183 | $1.30M | |
| 2019 | 69,032 | $1.69M | |
| 2020 | 54,071 | $1.48M | |
| 2021 | 47,158 | $1.16M | |
| 2022 | 15,910 | $154K | |
| 2023 | 28,483 | $464K | |
| 2024incomplete | 12,907 | $112K |
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 | 27% | 44,649 | 37,188 | $1.73M |
| 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 | 10% | 13,242 | 11,236 | $662K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 7,623 | 6,996 | $603K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 6,336 | 6,055 | $521K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 5.8% | 21,890 | 14,684 | $371K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 4,311 | 4,105 | $355K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 12,904 | 12,033 | $271K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.6% | 24,046 | 21,713 | $232K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 2,631 | 2,502 | $215K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 6,047 | 5,357 | $169K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 2,935 | 2,080 | $141K |
| 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 | 1.3% | 3,486 | 2,694 | $82K |
97 more codes
| 83655 | 1.3% | 7,292 | $81K | |
| D1110 | Prophylaxis - adult | 1.2% | 1,911 | $78K |
| 80061 | Lipid panel | 1.2% | 13,285 | $76K |
| D0120 | Dental checkup, returning patient | <1% | 2,620 | $49K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 10,109 | $49K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,319 | $49K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,276 | $42K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,586 | $42K |
| 90474 | <1% | 3,695 | $38K | |
| 99381 | <1% | 551 | $38K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,214 | $37K |
| 85018 | <1% | 15,751 | $37K | |
| 90837 | Psychotherapy session, about an hour | <1% | 416 | $35K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 336 | $33K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 525 | $30K |
| D1120 | Dental cleaning, child | <1% | 1,033 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,816 | $26K |
| 98940 | <1% | 1,542 | $26K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,074 | $25K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 445 | $21K |
| 90836 | <1% | 722 | $16K | |
| D0330 | Panoramic radiographic image | <1% | 466 | $16K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 860 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 337 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,591 | $9K |
| 90686 | <1% | 5,179 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 590 | $8K |
| D1351 | Sealant - per tooth | <1% | 619 | $8K |
| 99173 | <1% | 13,000 | $7K | |
| 99383 | <1% | 72 | $7K | |
| 96127 | <1% | 4,480 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 190 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 59 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 121 | $4K |
| 87807 | <1% | 345 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 138 | $4K |
| 90670 | <1% | 5,837 | $3K | |
| 90688 | <1% | 1,421 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 134 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 26 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $3K |
| 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 | <1% | 4,342 | $3K |
| 90651 | <1% | 777 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 483 | $2K |
| 0011A | <1% | 119 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 103 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 75 | $2K |
| 99382 | <1% | 13 | $1K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 43 | $1K |
| 36416 | <1% | 421 | $1K | |
| 81002 | <1% | 627 | $981.62 | |
| 59425 | <1% | 13 | $960.30 | |
| 90716 | <1% | 2,284 | $894.50 | |
| 81025 | <1% | 214 | $742.08 | |
| 0001A | <1% | 67 | $595.36 | |
| D1206 | Topical application of fluoride varnish | <1% | 76 | $591.86 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $581.37 |
| 90707 | <1% | 2,225 | $541.24 | |
| 90723 | <1% | 4,705 | $477.47 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $437.31 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $389.69 |
| 90680 | <1% | 3,693 | $366.49 | |
| 96150 | <1% | 18 | $284.40 | |
| 90633 | <1% | 3,089 | $237.82 | |
| 90715 | <1% | 89 | $205.09 | |
| 99000 | <1% | 1,050 | $198.44 | |
| 90648 | <1% | 6,173 | $141.85 | |
| 3044F | <1% | 262 | $120.00 | |
| 90734 | <1% | 578 | $102.50 | |
| 90658 | <1% | 16 | $49.86 | |
| 90687 | <1% | 1,048 | $41.07 | |
| 0002A | <1% | 32 | $37.21 | |
| 82962 | <1% | 16 | $32.72 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $13.21 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 32 | $11.04 |
| 90620 | 0% | 95 | $0.00 | |
| 3008F | 0% | 647 | $0.00 | |
| 3074F | 0% | 338 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 2,046 | $0.00 |
| 1036F | 0% | 410 | $0.00 | |
| 90480 | 0% | 39 | $0.00 | |
| 90677 | 0% | 40 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | $0.00 |
| 90696 | 0% | 73 | $0.00 | |
| 90697 | 0% | 40 | $0.00 | |
| 1034F | 0% | 56 | $0.00 | |
| 0072A | 0% | 23 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 3079F | 0% | 18 | $0.00 | |
| 3725F | 0% | 172 | $0.00 | |
| 90700 | 0% | 259 | $0.00 | |
| 1159F | 0% | 93 | $0.00 | |
| 1160F | 0% | 67 | $0.00 | |
| 3078F | 0% | 302 | $0.00 | |
| 90681 | 0% | 18 | $0.00 | |
| 90671 | 0% | 74 | $0.00 | |
| 0071A | 0% | 19 | $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 officialFULTZ, ESLEEN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Heart City Health Center, INC. | Elkhart, IN | $507K |
| Heart City Health Center, INC. | Elkhart, IN | $157K |
| Heart City Health Center, INC. | Elkhart, IN | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.