Clinic
Foundations Family Medicine PC
Foundations Family Medicine PC was paid $3.48M by Medicaid between Jan 2018 and Dec 2022, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoFOUNDATIONS FAMILY MEDICINE PC
AUSTIN, IN 47102
AUSTIN, IN 47102
33aNPI1720097322assigned 08/05/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$3.48M
24GClaims113,353
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Indiana
Rank by total paid#3 of 16
Median peer was paid$295K
This provider vs. median12×
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 | 11,614 | $280K | |
| 2019 | 23,284 | $678K | |
| 2020 | 25,953 | $799K | |
| 2021 | 22,204 | $837K | |
| 2022 | 30,298 | $892K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 32,080 | 17,956 | $1.56M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 28,185 | 15,699 | $1.07M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.5% | 19,809 | 10,677 | $263K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 946 | 631 | $83K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 1,524 | 902 | $72K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 2,830 | 1,693 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 853 | 604 | $50K |
| 80305 | 1.2% | 5,288 | 2,739 | $42K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 647 | 470 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 475 | 323 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 524 | 380 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,260 | 764 | $27K |
25 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 283 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,104 | $21K |
| 99401 | <1% | 1,465 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,324 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 864 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 215 | $12K |
| 99000 | <1% | 2,569 | $6K | |
| 81025 | <1% | 944 | $5K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 730 | $5K |
| 81002 | <1% | 2,746 | $5K | |
| 90656 | <1% | 257 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 261 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 585 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 142 | $2K |
| 99406 | <1% | 122 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 56 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 293 | $893.81 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $672.90 |
| 99454 | <1% | 427 | $584.43 | |
| 99457 | <1% | 351 | $526.09 | |
| 99407 | <1% | 25 | $352.06 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 117 | $208.59 |
| 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% | 3,010 | $88.38 |
| 90670 | 0% | 14 | $0.00 | |
| 90698 | 0% | 14 | $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 officialCOOKE, WILLIAM (DIRECTOR/OFFICER)