Clinic
Mso Clinics, INC.
Mso Clinics, INC. was paid $542K by Medicaid between Jan 2018 and Sep 2019, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoMSO CLINICS, INC.
SULLIVAN, IN 47882
SULLIVAN, IN 47882
33aNPI1811317977assigned 04/16/2014
33bProvider typeRural Health Clinic/Center
28Total paid$542K
24GClaims17,287
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in Indiana
Rank by total paid#36 of 82
Median peer was paid$379K
This provider vs. median1.4×
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 | 8,660 | $196K | |
| 2019 | 8,627 | $346K |
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 | 67% | 10,059 | 8,057 | $363K |
| 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 | 15% | 1,790 | 1,555 | $82K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.8% | 830 | 608 | $42K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 1,609 | 1,366 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 130 | 115 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 146 | 131 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 73 | 67 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 389 | 329 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 506 | 388 | $2K |
| 99307 | <1% | 147 | 131 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 143 | 122 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 18 | 16 | $1K |
9 more codes
| 90686 | <1% | 343 | $780.56 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23 | $640.02 |
| 90649 | <1% | 13 | $512.21 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 20 | $428.39 |
| 90633 | <1% | 191 | $147.18 | |
| 90734 | <1% | 59 | $105.58 | |
| 90670 | <1% | 14 | $0.05 | |
| 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 | 0% | 767 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 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 officialFRANKLIN, MICHELLE (CEO)
Parent organizationSULLIVAN COUNTY COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Sullivan County Community Hospital | Sullivan, IN | $10.25M |
| Mso Clinics, INC. | Sullivan, IN | $512K |
| Mso Clinics, INC. | Sullivan, IN | $288K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.