NPI: 1780392373 · PETERSBURG, IN 47567 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 11/11/2022
| Authorized Official | EMMONS, JENNIFER (CEO) |
| Parent Organization | - |
| NPI Enumeration Date | 11/11/2022 |
Other providers sharing the same authorized official: EMMONS, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | VINCENNES | IN | $2.78M |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC. | VINCENNES | IN | $2.57M |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | VINCENNES | IN | $1.37M |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | VINCENNES | IN | $676K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | WASHINGTON | IN | $465K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | LOOGOOTEE | IN | $117K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | VINCENNES | IN | $23K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC | BRUCEVILLE | IN | $2K |
| GOOD SAMARITAN FAMILY HEALTH CENTER, INC. | VINCENNES | IN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,229 | $79K |
| 2024 | 3,657 | $134K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,741 | 1,533 | $104K |
| T1015 | Clinic visit/encounter, all-inclusive | 2,534 | 2,119 | $69K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 672 | 548 | $31K |
| 90837 | Psychotherapy, 53 minutes with patient | 38 | 28 | $4K |
| 90834 | Psychotherapy, 45 minutes with patient | 55 | 44 | $3K |
| 96127 | 732 | 651 | $2K | |
| 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 | 114 | 88 | $1K |