Physician
Madison County Community Health Centers INC
Madison County Community Health Centers INC was paid $493K by Medicaid between Jan 2018 and Apr 2023, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMADISON COUNTY COMMUNITY HEALTH CENTERS INC
ANDERSON, IN 46016
ANDERSON, IN 46016
33aNPI1770668030assigned 10/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$493K
24GClaims21,831
24DCodes billed50
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#103 of 408
Median peer was paid$81K
This provider vs. median6.1×
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 | 19,126 | $393K | |
| 2019 | 2,684 | $99K | |
| 2023 | 21 | $447.06 |
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 | 42% | 7,870 | 6,113 | $207K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 13% | 3,248 | 2,132 | $66K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 12% | 448 | 366 | $60K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 287 | 251 | $22K |
| 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 | 4.4% | 885 | 635 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 256 | 215 | $20K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.8% | 437 | 341 | $19K |
| 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 | 2.1% | 491 | 297 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 644 | 566 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 92 | 75 | $7K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 222 | 166 | $6K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.1% | 66 | 46 | $5K |
38 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 332 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 831 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 199 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 176 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 357 | $3K |
| 92551 | <1% | 663 | $3K | |
| D1110 | Prophylaxis - adult | <1% | 211 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 245 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 281 | $2K |
| D0330 | Panoramic radiographic image | <1% | 100 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 155 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 172 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 189 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 44 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 83 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 171 | $1K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 263 | $814.95 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 144 | $738.87 |
| 99173 | <1% | 622 | $447.05 | |
| 90649 | <1% | 147 | $344.89 | |
| 90658 | <1% | 37 | $232.30 | |
| 90651 | <1% | 86 | $214.32 | |
| 83026 | <1% | 95 | $205.16 | |
| 81002 | <1% | 279 | $133.44 | |
| 81025 | <1% | 31 | $106.42 | |
| 90734 | <1% | 106 | $105.60 | |
| D1120 | Dental cleaning, child | <1% | 49 | $103.50 |
| 90863 | <1% | 109 | $101.23 | |
| 90633 | <1% | 111 | $56.76 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 14 | $55.50 |
| 82962 | <1% | 176 | $29.62 | |
| 90686 | <1% | 174 | $16.87 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 121 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 44 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 14 | $0.00 |
| 90715 | 0% | 24 | $0.00 | |
| 80061 | Lipid panel | 0% | 17 | $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 officialMALONE, ANTHONY (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Preschool Early Development and Screening Committee of Albany INC | Albany, NY | $134K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.