Clinic
Major Hospital
Major Hospital was paid $9.58M by Medicaid between Feb 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoMAJOR HOSPITAL
SHELBYVILLE, IN 46176
SHELBYVILLE, IN 46176
33aNPI1811406531assigned 09/26/2017
33bProvider typeRural Health Clinic/Center
28Total paid$9.58M
24GClaims277,998
24DCodes billed51
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Indiana
Rank by total paid#3 of 82
Median peer was paid$379K
This provider vs. median25×
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 | 5,412 | $142K | |
| 2019 | 16,711 | $829K | |
| 2020 | 13,842 | $796K | |
| 2021 | 38,351 | $1.94M | |
| 2022 | 73,974 | $2.42M | |
| 2023 | 84,274 | $2.16M | |
| 2024incomplete | 45,434 | $1.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 75,954 | 50,451 | $5.48M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 18% | 83,591 | 49,526 | $1.70M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 17,676 | 11,286 | $919K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 3,451 | 2,334 | $315K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.2% | 6,630 | 3,793 | $207K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.1% | 8,639 | 4,965 | $199K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 1,676 | 952 | $130K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 1,293 | 754 | $115K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 843 | 499 | $93K |
| 99310 | Prolong nursin fac eval 15m | <1% | 2,869 | 2,068 | $84K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 796 | 528 | $79K |
| 87428 | <1% | 2,366 | 1,495 | $65K |
39 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 777 | $42K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,164 | $32K |
| 90686 | <1% | 2,102 | $30K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,041 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 589 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 399 | $9K |
| 99349 | <1% | 219 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 111 | $8K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 150 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 802 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 509 | $5K |
| 99307 | <1% | 249 | $4K | |
| 99385 | <1% | 32 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 179 | $3K |
| 90632 | <1% | 41 | $2K | |
| 98929 | <1% | 28 | $2K | |
| 99406 | <1% | 82 | $2K | |
| 0124A | <1% | 66 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 219 | $1K |
| 90715 | <1% | 24 | $794.90 | |
| 90480 | <1% | 14 | $467.40 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $441.14 |
| 81002 | <1% | 176 | $383.58 | |
| 3044F | <1% | 37 | $120.00 | |
| 99490 | Ccm add 20min | <1% | 14 | $59.09 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $28.95 |
| 3075F | 0% | 3,228 | $0.00 | |
| 3079F | 0% | 9,427 | $0.00 | |
| 3074F | 0% | 23,096 | $0.00 | |
| 1125F | 0% | 1,221 | $0.00 | |
| 1126F | 0% | 3,894 | $0.00 | |
| 3080F | 0% | 90 | $0.00 | |
| 1111F | 0% | 310 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $0.00 |
| 94760 | 0% | 63 | $0.00 | |
| 3078F | 0% | 19,195 | $0.00 | |
| 3077F | 0% | 542 | $0.00 | |
| 91312 | 0% | 65 | $0.00 | |
| 91320 | 0% | 14 | $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 officialSCHENE, MARY (PFS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Major Hospital | Shelbyville, IN | $7.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.