Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

NPI: 1831438282 · INDIANAPOLIS, IN 46226 · Federally Qualified Health Center (FQHC) · NPI assigned 02/05/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SCOTT, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$6.85M
Total Medicaid Paid
224,801
Total Claims
184,545
Beneficiaries
92
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialSCOTT, CHRISTOPHER (CHIEF CLINICAL OPERATING OFFICER)
NPI Enumeration Date02/05/2013

Related Entities

Other providers sharing the same authorized official: SCOTT, CHRISTOPHER

ProviderCityStateTotal Paid
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $231.53M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $46.97M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $30.19M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $17.31M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $16.60M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $15.58M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $8.91M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $8.44M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $6.79M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $5.03M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $3.25M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $2.70M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $1.72M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $1.11M
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $873K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $475K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $309K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $266K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $211K
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN $178K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,355 $596K
2019 31,111 $1.04M
2020 21,251 $725K
2021 36,819 $1.20M
2022 50,510 $1.46M
2023 43,723 $1.45M
2024 10,032 $385K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 59,108 47,001 $1.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,006 27,184 $1.53M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,385 20,047 $1.35M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,610 3,233 $303K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,458 3,119 $274K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,013 2,494 $232K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,889 5,750 $211K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,161 1,901 $167K
59425 2,498 1,604 $154K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,308 1,883 $141K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16,469 14,112 $132K
90472 Immunization administration, each additional vaccine (list separately) 8,213 7,154 $130K
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 4,278 3,561 $99K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,078 814 $52K
92015 Determination of refractive state 5,433 4,402 $46K
99215 Prolong outpt/office vis 345 286 $33K
83036 Hemoglobin; glycosylated (A1C) 5,700 4,757 $29K
97803 1,226 871 $28K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 370 286 $26K
90791 Psychiatric diagnostic evaluation 314 237 $23K
V2020 Frames, purchases 953 829 $23K
90832 Psychotherapy, 30 minutes with patient 465 402 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 264 217 $19K
90674 1,392 1,219 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 455 410 $19K
J1050 Injection, medroxyprogesterone acetate, 1 mg 529 423 $17K
36415 Collection of venous blood by venipuncture 8,625 7,056 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 192 164 $16K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 570 280 $15K
97802 565 401 $12K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 326 150 $12K
V2784 Lens, polycarbonate or equal, any index, per lens 490 239 $11K
11721 911 671 $8K
0011A 251 243 $8K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,229 436 $7K
0012A 212 206 $7K
90474 766 699 $7K
92002 502 435 $7K
90651 1,132 966 $6K
81002 2,621 1,805 $5K
90792 Psychiatric diagnostic evaluation with medical services 44 39 $5K
90834 Psychotherapy, 45 minutes with patient 87 79 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 337 260 $4K
0124A 190 129 $4K
81025 959 784 $4K
11056 116 87 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 486 447 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 245 202 $3K
86703 458 340 $2K
90715 332 277 $2K
11720 346 202 $2K
59426 27 12 $2K
99177 349 334 $1K
90480 162 75 $1K
83026 472 409 $1K
91320 80 35 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 33 30 $1K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 67 51 $875.99
99173 497 428 $821.86
90670 2,673 2,367 $784.52
87428 24 22 $728.62
11055 37 29 $676.06
99381 14 13 $634.46
0001A 15 15 $558.15
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $541.79
99442 279 212 $405.00
90710 401 339 $209.38
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 59 57 $136.16
90686 3,114 2,610 $135.05
G0127 Trimming of dystrophic nails, any number 24 16 $102.17
36416 37 27 $95.43
90633 1,375 1,207 $86.88
90694 37 32 $72.72
99441 151 114 $33.56
90734 743 644 $0.00
90681 821 745 $0.00
90707 32 32 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12 12 $0.00
90700 81 69 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 13 $0.00
90723 1,740 1,554 $0.00
90647 1,797 1,600 $0.00
90697 120 108 $0.00
90716 31 31 $0.00
99386 36 25 $0.00
91301 221 211 $0.00
G0008 Administration of influenza virus vaccine 96 82 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 46 41 $0.00
90620 40 38 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 12 12 $0.00
90696 72 56 $0.00
99385 35 33 $0.00