Agency
Jane Pauley Community Health Center INC
Jane Pauley Community Health Center INC was paid $30.22M by Medicaid between Jan 2018 and Dec 2024, across 164 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 25% of everything it billed.
33Billing provider infoJANE PAULEY COMMUNITY HEALTH CENTER INC
INDIANAPOLIS, IN 46229
INDIANAPOLIS, IN 46229
33aNPI1730488818assigned 03/15/2011
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$30.22M
24GClaims902,776
24DCodes billed164
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Indiana
Rank by total paid#9 of 82
Median peer was paid$713K
This provider vs. median42×
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 | 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 | |
| 2024incomplete | 185,958 | $6.15M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 25% | 253,615 | 192,235 | $7.63M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 153,330 | 127,515 | $6.78M |
| 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 | 13% | 59,179 | 50,178 | $3.96M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.3% | 42,924 | 27,057 | $2.21M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 18,034 | 10,837 | $1.27M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.1% | 31,966 | 19,699 | $1.23M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 8,658 | 7,407 | $641K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 7,987 | 6,780 | $561K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 18,971 | 16,266 | $550K |
| 59426 | 1.3% | 6,346 | 3,254 | $404K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.3% | 5,203 | 4,606 | $397K |
| 59425 | 1.3% | 6,696 | 5,041 | $380K |
152 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 4,551 | $334K |
| D9999 | Unspecified adjunctive procedure, by report | 1.1% | 12,875 | $327K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43,016 | $272K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 21,094 | $250K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,629 | $217K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,158 | $180K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,616 | $174K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 5,469 | $164K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 5,696 | $164K |
| D1110 | Prophylaxis - adult | <1% | 4,262 | $160K |
| D0330 | Panoramic radiographic image | <1% | 5,023 | $130K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,268 | $129K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,230 | $105K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,699 | $105K |
| G0467 | Community health center visit, returning patient | <1% | 3,614 | $98K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,244 | $92K |
| 36415 | Collection of venous blood by venipuncture | <1% | 28,171 | $84K |
| 96156 | <1% | 1,166 | $73K | |
| D0120 | Dental checkup, returning patient | <1% | 3,722 | $68K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,496 | $63K |
| D1120 | Dental cleaning, child | <1% | 2,644 | $59K |
| D1206 | Topical application of fluoride varnish | <1% | 3,707 | $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 | <1% | 2,380 | $52K |
| D0274 | Bitewings - four radiographic images | <1% | 2,062 | $49K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 8,040 | $47K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 572 | $43K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,255 | $42K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,438 | $38K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 853 | $35K |
| 90686 | <1% | 8,406 | $30K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 832 | $28K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,470 | $26K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 173 | $22K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 885 | $22K |
| 90677 | <1% | 1,259 | $22K | |
| 96150 | <1% | 605 | $21K | |
| 99383 | <1% | 271 | $21K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,561 | $20K |
| 90474 | <1% | 2,570 | $19K | |
| 81003 | <1% | 15,174 | $19K | |
| 90651 | <1% | 669 | $19K | |
| 83655 | <1% | 2,097 | $18K | |
| 81025 | <1% | 3,389 | $16K | |
| 90670 | <1% | 5,558 | $15K | |
| 90688 | <1% | 2,043 | $14K | |
| 59430 | <1% | 136 | $14K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 302 | $13K |
| 81002 | <1% | 7,134 | $13K | |
| 80305 | <1% | 3,844 | $11K | |
| 76801 | <1% | 253 | $11K | |
| 90750 | <1% | 89 | $10K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,512 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,596 | $9K |
| 90698 | <1% | 4,818 | $9K | |
| 90746 | <1% | 192 | $9K | |
| 90715 | <1% | 886 | $8K | |
| 96152 | <1% | 402 | $8K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 140 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 492 | $8K |
| 85018 | <1% | 3,581 | $7K | |
| D4341 | <1% | 402 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 386 | $6K |
| 99381 | <1% | 126 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 631 | $6K |
| 90656 | <1% | 1,491 | $5K | |
| 90680 | <1% | 2,689 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 175 | $4K |
| 90710 | <1% | 511 | $4K | |
| D4910 | <1% | 115 | $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% | 1,769 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 198 | $3K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 79 | $3K |
| 99384 | <1% | 32 | $3K | |
| 90734 | <1% | 239 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 214 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 547 | $2K |
| D2332 | <1% | 21 | $2K | |
| 90633 | <1% | 3,066 | $2K | |
| 90732 | <1% | 187 | $2K | |
| 90744 | <1% | 2,162 | $2K | |
| 90716 | <1% | 158 | $2K | |
| 96127 | <1% | 302 | $2K | |
| 80061 | Lipid panel | <1% | 181 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 47 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 228 | $1K |
| 96160 | <1% | 953 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 111 | $1K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 86 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 115 | $1K |
| 99382 | <1% | 13 | $1K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 86 | $1K |
| 92587 | <1% | 74 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 33 | $1K |
| 92551 | <1% | 166 | $999.25 | |
| 96380 | <1% | 90 | $991.50 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 131 | $874.03 |
| 87481 | <1% | 54 | $868.52 | |
| 90480 | <1% | 41 | $701.10 | |
| 99173 | <1% | 419 | $599.21 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 164 | $598.30 |
| D0270 | <1% | 45 | $596.23 | |
| D4342 | <1% | 25 | $509.90 | |
| 99441 | <1% | 41 | $471.48 | |
| D0240 | <1% | 42 | $438.82 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 99 | $434.31 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 49 | $296.07 |
| 90696 | <1% | 118 | $256.48 | |
| 90707 | <1% | 99 | $208.11 | |
| 99177 | <1% | 56 | $204.33 | |
| 84560 | <1% | 116 | $189.48 | |
| 90700 | <1% | 64 | $161.61 | |
| 99188 | <1% | 22 | $153.35 | |
| 86803 | <1% | 14 | $142.70 | |
| 99443 | <1% | 56 | $133.82 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 18 | $120.40 |
| 87807 | <1% | 15 | $107.07 | |
| 36416 | <1% | 514 | $90.66 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 12 | $76.96 |
| 85027 | <1% | 18 | $68.58 | |
| 86787 | <1% | 15 | $51.80 | |
| 85007 | <1% | 18 | $28.88 | |
| 93000 | <1% | 115 | $23.66 | |
| 82962 | <1% | 14 | $21.50 | |
| 87522 | Neg quan hep c or qual rna | <1% | 49 | $20.26 |
| 90685 | <1% | 48 | $15.00 | |
| 1160F | 0% | 1,410 | $0.00 | |
| 4040F | 0% | 188 | $0.00 | |
| 3078F | 0% | 859 | $0.00 | |
| 4274F | 0% | 392 | $0.00 | |
| 1159F | 0% | 1,409 | $0.00 | |
| 91320 | 0% | 40 | $0.00 | |
| 99442 | 0% | 108 | $0.00 | |
| 90648 | 0% | 16 | $0.00 | |
| 99404 | 0% | 64 | $0.00 | |
| 3074F | 0% | 1,206 | $0.00 | |
| 2000F | 0% | 1,647 | $0.00 | |
| 2001F | 0% | 2,269 | $0.00 | |
| 1036F | 0% | 981 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 136 | $0.00 |
| 3008F | 0% | 2,043 | $0.00 | |
| 90619 | 0% | 110 | $0.00 | |
| 2010F | 0% | 2,339 | $0.00 | |
| 3079F | 0% | 94 | $0.00 | |
| 90697 | 0% | 636 | $0.00 | |
| 4037F | 0% | 195 | $0.00 | |
| 99385 | 0% | 74 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 55 | $0.00 |
| 3351F | 0% | 45 | $0.00 | |
| 1034F | 0% | 17 | $0.00 | |
| 92558 | 0% | 13 | $0.00 | |
| 90620 | 0% | 28 | $0.00 | |
| 90381 | 0% | 30 | $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 officialDALE, MICHAEL (CHIEF FINANCE OFFICER)