Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › INDIANAPOLIS › JANE PAULEY COMMUNITY HEALTH CENTER INC

JANE PAULEY COMMUNITY HEALTH CENTER INC

NPI: 1730488818 · INDIANAPOLIS, IN 46229 · Community/Behavioral Health Agency · NPI assigned 03/15/2011

$30.22M
Total Medicaid Paid
902,776
Total Claims
705,673
Beneficiaries
164
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDALE, MICHAEL (CHIEF FINANCE OFFICER)
NPI Enumeration Date03/15/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,389 $1.89M
2019 84,606 $3.97M
2020 84,084 $3.68M
2021 126,257 $4.58M
2022 156,588 $4.63M
2023 175,894 $5.32M
2024 185,958 $6.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 253,615 192,235 $7.63M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 153,330 127,515 $6.78M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 59,179 50,178 $3.96M
90834 Psychotherapy, 45 minutes with patient 42,924 27,057 $2.21M
90837 Psychotherapy, 53 minutes with patient 18,034 10,837 $1.27M
90832 Psychotherapy, 30 minutes with patient 31,966 19,699 $1.23M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,658 7,407 $641K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,987 6,780 $561K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,971 16,266 $550K
59426 6,346 3,254 $404K
90791 Psychiatric diagnostic evaluation 5,203 4,606 $397K
59425 6,696 5,041 $380K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,551 4,114 $334K
D9999 Unspecified adjunctive procedure, by report 12,875 8,557 $327K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43,016 35,747 $272K
90472 Immunization administration, each additional vaccine (list separately) 21,094 17,225 $250K
90792 Psychiatric diagnostic evaluation with medical services 2,629 2,228 $217K
D7140 Extraction, erupted tooth or exposed root 3,158 1,218 $180K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,616 4,146 $174K
D0210 Intraoral - complete series of radiographic images 5,469 4,122 $164K
D0150 Comprehensive oral evaluation - new or established patient 5,696 4,869 $164K
D1110 Prophylaxis - adult 4,262 3,647 $160K
D0330 Panoramic radiographic image 5,023 4,291 $130K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,268 1,297 $129K
99215 Prolong outpt/office vis 1,230 1,059 $105K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,699 1,508 $105K
G0467 Federally 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 3,614 2,725 $98K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,244 1,087 $92K
36415 Collection of venous blood by venipuncture 28,171 24,528 $84K
96156 1,166 794 $73K
D0120 Periodic oral evaluation - established patient 3,722 3,218 $68K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,496 810 $63K
D1120 Prophylaxis - child 2,644 2,294 $59K
D1206 Topical application of fluoride varnish 3,707 3,222 $56K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 2,380 1,338 $52K
D0274 Bitewings - four radiographic images 2,062 1,771 $49K
83036 Hemoglobin; glycosylated (A1C) 8,040 7,102 $47K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 572 390 $43K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,255 1,089 $42K
D0140 Limited oral evaluation - problem focused 1,438 1,202 $38K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 853 789 $35K
90686 8,406 6,953 $30K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 832 638 $28K
90853 Group psychotherapy (other than of a multiple-family group) 2,470 890 $26K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 173 98 $22K
J1050 Injection, medroxyprogesterone acetate, 1 mg 885 797 $22K
90677 1,259 1,088 $22K
96150 605 373 $21K
99383 271 256 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,561 1,360 $20K
90474 2,570 2,127 $19K
81003 15,174 10,861 $19K
90651 669 565 $19K
83655 2,097 1,822 $18K
81025 3,389 2,951 $16K
90670 5,558 4,404 $15K
90688 2,043 1,935 $14K
59430 136 91 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 302 241 $13K
81002 7,134 4,892 $13K
80305 3,844 2,895 $11K
76801 253 190 $11K
90750 89 81 $10K
D0220 Intraoral - periapical first radiographic image 1,512 1,141 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,596 1,365 $9K
90698 4,818 3,844 $9K
90746 192 177 $9K
90715 886 814 $8K
96152 402 275 $8K
90847 Family psychotherapy with the patient present, 50 minutes 140 102 $8K
D0272 Bitewings - two radiographic images 492 426 $8K
85018 3,581 3,138 $7K
D4341 402 180 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 386 364 $6K
99381 126 116 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 631 536 $6K
90656 1,491 1,417 $5K
90680 2,689 2,223 $5K
99238 Hospital discharge day management, 30 minutes or less 175 120 $4K
90710 511 417 $4K
D4910 115 85 $4K
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 1,769 995 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 198 98 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 79 55 $3K
99384 32 30 $3K
90734 239 195 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 214 206 $2K
D0230 Intraoral - periapical each additional radiographic image 547 222 $2K
D2332 21 14 $2K
90633 3,066 2,456 $2K
90732 187 179 $2K
90744 2,162 1,735 $2K
90716 158 134 $2K
96127 302 284 $2K
80061 Lipid panel 181 158 $2K
D0145 Oral evaluation for a patient under three years of age 47 38 $1K
80053 Comprehensive metabolic panel 228 197 $1K
96160 953 808 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 111 52 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 86 76 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 115 100 $1K
99382 13 12 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 86 76 $1K
92587 74 73 $1K
99205 Prolong outpt/office vis 33 20 $1K
92551 166 162 $999.25
96380 90 90 $991.50
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 131 105 $874.03
87481 54 43 $868.52
90480 41 38 $701.10
99173 419 399 $599.21
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 164 87 $598.30
D0270 45 26 $596.23
D4342 25 13 $509.90
99441 41 30 $471.48
D0240 42 13 $438.82
85025 Blood count; complete (CBC), automated, and automated differential WBC count 99 85 $434.31
84443 Thyroid stimulating hormone (TSH) 49 41 $296.07
90696 118 75 $256.48
90707 99 83 $208.11
99177 56 56 $204.33
84560 116 97 $189.48
90700 64 52 $161.61
99188 22 14 $153.35
86803 14 13 $142.70
99443 56 43 $133.82
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 18 16 $120.40
87807 15 13 $107.07
36416 514 334 $90.66
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $76.96
85027 18 13 $68.58
86787 15 14 $51.80
85007 18 13 $28.88
93000 115 102 $23.66
82962 14 13 $21.50
87522 Neg quan hep c or qual rna 49 43 $20.26
90685 48 47 $15.00
1160F 1,410 1,365 $0.00
4040F 188 185 $0.00
3078F 859 834 $0.00
4274F 392 375 $0.00
1159F 1,409 1,364 $0.00
91320 40 37 $0.00
99442 108 92 $0.00
90648 16 13 $0.00
99404 64 28 $0.00
3074F 1,206 1,165 $0.00
2000F 1,647 1,593 $0.00
2001F 2,269 2,202 $0.00
1036F 981 948 $0.00
76830 Ultrasound, transvaginal 136 125 $0.00
3008F 2,043 1,975 $0.00
90619 110 99 $0.00
2010F 2,339 2,272 $0.00
3079F 94 94 $0.00
90697 636 557 $0.00
4037F 195 195 $0.00
99385 74 72 $0.00
G0008 Administration of influenza virus vaccine 55 45 $0.00
3351F 45 45 $0.00
1034F 17 17 $0.00
92558 13 13 $0.00
90620 28 25 $0.00
90381 30 30 $0.00