Clinic
The Health and Hospital Corporation of Marion County
The Health and Hospital Corporation of Marion County was paid $6.85M by Medicaid between Jan 2018 and Apr 2024, across 92 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 23% of everything it billed.
33Billing provider infoTHE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
INDIANAPOLIS, IN 46226
INDIANAPOLIS, IN 46226
33aNPI1831438282assigned 02/05/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.85M
24GClaims224,801
24DCodes billed92
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#10 of 156
Median peer was paid$568K
This provider vs. median12×
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.
Entity ProliferationAuthorized official SCOTT, CHRISTOPHER controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 10,032 | $385K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 23% | 59,108 | 47,001 | $1.59M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 32,006 | 27,184 | $1.53M |
| 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 | 20% | 24,385 | 20,047 | $1.35M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 3,610 | 3,233 | $303K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 3,458 | 3,119 | $274K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 3,013 | 2,494 | $232K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 6,889 | 5,750 | $211K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 2,161 | 1,901 | $167K |
| 59425 | 2.2% | 2,498 | 1,604 | $154K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.1% | 2,308 | 1,883 | $141K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 16,469 | 14,112 | $132K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 8,213 | 7,154 | $130K |
80 more codes
| G0467 | Community health center visit, returning patient | 1.4% | 4,278 | $99K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,078 | $52K |
| 92015 | Determination of refractive state | <1% | 5,433 | $46K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 345 | $33K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,700 | $29K |
| 97803 | <1% | 1,226 | $28K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 370 | $26K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 314 | $23K |
| V2020 | Frames, purchases | <1% | 953 | $23K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 465 | $19K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 264 | $19K |
| 90674 | <1% | 1,392 | $19K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 455 | $19K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 529 | $17K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,625 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 192 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 570 | $15K |
| 97802 | <1% | 565 | $12K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 326 | $12K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 490 | $11K |
| 11721 | <1% | 911 | $8K | |
| 0011A | <1% | 251 | $8K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,229 | $7K |
| 0012A | <1% | 212 | $7K | |
| 90474 | <1% | 766 | $7K | |
| 92002 | <1% | 502 | $7K | |
| 90651 | <1% | 1,132 | $6K | |
| 81002 | <1% | 2,621 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 44 | $5K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 87 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 337 | $4K |
| 0124A | <1% | 190 | $4K | |
| 81025 | <1% | 959 | $4K | |
| 11056 | <1% | 116 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 486 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 245 | $3K |
| 86703 | <1% | 458 | $2K | |
| 90715 | <1% | 332 | $2K | |
| 11720 | <1% | 346 | $2K | |
| 59426 | <1% | 27 | $2K | |
| 99177 | <1% | 349 | $1K | |
| 90480 | <1% | 162 | $1K | |
| 83026 | <1% | 472 | $1K | |
| 91320 | <1% | 80 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 33 | $1K |
| G0433 | Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening | <1% | 67 | $875.99 |
| 99173 | <1% | 497 | $821.86 | |
| 90670 | <1% | 2,673 | $784.52 | |
| 87428 | <1% | 24 | $728.62 | |
| 11055 | <1% | 37 | $676.06 | |
| 99381 | <1% | 14 | $634.46 | |
| 0001A | <1% | 15 | $558.15 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $541.79 |
| 99442 | <1% | 279 | $405.00 | |
| 90710 | <1% | 401 | $209.38 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 59 | $136.16 |
| 90686 | <1% | 3,114 | $135.05 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 24 | $102.17 |
| 36416 | <1% | 37 | $95.43 | |
| 90633 | <1% | 1,375 | $86.88 | |
| 90694 | <1% | 37 | $72.72 | |
| 99441 | <1% | 151 | $33.56 | |
| 90734 | 0% | 743 | $0.00 | |
| 90681 | 0% | 821 | $0.00 | |
| 90707 | 0% | 32 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | $0.00 |
| 90700 | 0% | 81 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $0.00 |
| 90723 | 0% | 1,740 | $0.00 | |
| 90647 | 0% | 1,797 | $0.00 | |
| 90697 | 0% | 120 | $0.00 | |
| 90716 | 0% | 31 | $0.00 | |
| 99386 | 0% | 36 | $0.00 | |
| 91301 | 0% | 221 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 96 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 46 | $0.00 |
| 90620 | 0% | 40 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 90696 | 0% | 72 | $0.00 | |
| 99385 | 0% | 35 | $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 officialSCOTT, CHRISTOPHER (CHIEF CLINICAL OPERATING OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.