Indiana Health Centers, INC.
Indiana Health Centers, INC. was paid $8.60M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
KOKOMO, IN 46902
Next to other Dentist providers in Indiana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 39,550 | $676K | |
| 2019 | 32,596 | $1.22M | |
| 2020 | 22,509 | $808K | |
| 2021 | 45,716 | $1.46M | |
| 2022 | 54,564 | $1.44M | |
| 2023 | 58,132 | $1.66M | |
| 2024incomplete | 40,140 | $1.34M |
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 | 44% | 76,981 | 62,902 | $3.76M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 9.0% | 60,913 | 48,954 | $776K |
| 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 | 7.2% | 11,432 | 9,779 | $622K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 12,372 | 10,709 | $417K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 3,570 | 2,286 | $239K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 2,752 | 2,517 | $220K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 7,101 | 6,583 | $213K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 9,288 | 8,560 | $189K |
| D1110 | Prophylaxis - adult | 2.2% | 4,220 | 3,889 | $188K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 1,932 | 1,774 | $158K |
| D9999 | Unspecified adjunctive procedure, by report | 1.8% | 15,451 | 12,251 | $152K |
| 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 | 1.7% | 5,747 | 4,268 | $143K |
61 more codes
| D0330 | Panoramic radiographic image | 1.6% | 3,300 | $137K |
| D1206 | Topical application of fluoride varnish | 1.5% | 6,030 | $129K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 1,466 | $120K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 3,150 | $108K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 3,004 | $103K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 2,639 | $95K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 1,230 | $93K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 4,445 | $88K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,731 | $85K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,156 | $82K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 889 | $75K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,126 | $59K |
| D0274 | Bitewings - four radiographic images | <1% | 2,305 | $58K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 3,321 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 385 | $31K |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,955 | $25K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,063 | $24K |
| D1351 | Sealant - per tooth | <1% | 932 | $23K |
| D0272 | Bitewings - two radiographic images | <1% | 1,299 | $23K |
| 87430 | <1% | 2,259 | $20K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,898 | $19K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 241 | $16K |
| 97803 | <1% | 7,367 | $13K | |
| 81025 | <1% | 1,776 | $11K | |
| 90686 | <1% | 1,526 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 922 | $7K |
| 81003 | <1% | 2,789 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 56 | $4K |
| 80305 | <1% | 522 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 437 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 538 | $3K |
| D2335 | <1% | 18 | $2K | |
| D4342 | <1% | 38 | $2K | |
| D2331 | <1% | 13 | $2K | |
| D4341 | <1% | 27 | $2K | |
| 36416 | <1% | 452 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 28 | $994.00 |
| 85018 | <1% | 436 | $858.06 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $754.08 |
| 96127 | <1% | 165 | $480.61 | |
| 83655 | <1% | 27 | $318.48 | |
| 99173 | <1% | 187 | $245.21 | |
| 97802 | <1% | 27 | $19.22 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $1.24 |
| 90734 | 0% | 127 | $0.00 | |
| 90670 | 0% | 106 | $0.00 | |
| 90710 | 0% | 84 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 41 | $0.00 |
| 90649 | 0% | 42 | $0.00 | |
| 90715 | 0% | 50 | $0.00 | |
| 82948 | 0% | 15 | $0.00 | |
| G0247 | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails | 0% | 14 | $0.00 |
| 90633 | 0% | 13 | $0.00 | |
| 90619 | 0% | 110 | $0.00 | |
| S0612 | Annual gynecological examination, established patient | 0% | 26 | $0.00 |
| 90688 | 0% | 66 | $0.00 | |
| 90656 | 0% | 87 | $0.00 | |
| 90677 | 0% | 100 | $0.00 | |
| 90651 | 0% | 292 | $0.00 | |
| 90698 | 0% | 58 | $0.00 | |
| 90647 | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Indiana Health Centers, INC. | South Bend, IN | $7.33M |
| Indiana Health Centers, INC | Seymour, IN | $4.24M |
| Indiana Health Centers, INC. | Marion, IN | $2.88M |
| Indiana Health Centers, INC | Peru, IN | $2.15M |
| Indiana Health Centers, INC | Spencer, IN | $1.62M |
| Indiana Health Centers, INC. | Logansport, IN | $1.35M |
| Indiana Health Centers, INC | South Bend, IN | $1.30M |
| Indiana Health Centers, INC. | South Bend, IN | $1.06M |
| Indiana Health Centers INC | Bedford, IN | $174K |
| Indiana Health Centers, INC | South Bend, IN | $146K |
| Indiana Health Centers, INC. | Indianapolis, IN | $39K |
| Indiana Health Centers, INC | Logansport, IN | $31K |
| Indiana Health Centers, INC | Marion, IN | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.