Clinic
Southern Indiana Community Health Care, INC
Southern Indiana Community Health Care, INC was paid $870K by Medicaid between Mar 2018 and Oct 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoSOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
WEST BADEN SPRINGS, IN 47469
WEST BADEN SPRINGS, IN 47469
33aNPI1841706868assigned 12/28/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$870K
24GClaims32,409
24DCodes billed32
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#66 of 156
Median peer was paid$568K
This provider vs. median1.5×
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 | 1,029 | $22K | |
| 2019 | 1,780 | $70K | |
| 2020 | 1,913 | $76K | |
| 2021 | 4,291 | $145K | |
| 2022 | 8,056 | $207K | |
| 2023 | 15,019 | $344K | |
| 2024incomplete | 321 | $5K |
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 | 45% | 5,325 | 3,486 | $388K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 7,197 | 5,266 | $341K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 6.5% | 11,489 | 6,499 | $57K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 327 | 209 | $37K |
| 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 | 1.3% | 440 | 327 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 536 | 485 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 232 | 200 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 111 | 73 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 479 | 261 | $2K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 31 | 25 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 23 | 12 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 130 | 59 | $2K |
20 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 60 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 104 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 22 | $1K |
| 98960 | <1% | 118 | $869.81 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 73 | $763.61 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 19 | $645.90 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 38 | $470.51 |
| 90688 | <1% | 19 | $252.93 | |
| 90686 | <1% | 56 | $212.75 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 23 | $201.77 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $86.00 |
| 36416 | <1% | 23 | $45.98 | |
| 96127 | <1% | 12 | $36.03 | |
| 1159F | 0% | 3,945 | $0.00 | |
| 3078F | 0% | 147 | $0.00 | |
| 1160F | 0% | 459 | $0.00 | |
| 3008F | 0% | 717 | $0.00 | |
| 3074F | 0% | 185 | $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 officialRADCLIFF, NANCY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Southern Indiana Community Health Care, INC | Paoli, IN | $2.03M |
| Southern Indiana Community Health Care, INC | Marengo, IN | $766K |
| Southern Indiana Community Health Care, INC | English, IN | $632K |
| Southern Indiana Community Health Care, INC | Bedford, IN | $144K |
| Southern Indiana Community Health Care, INC | Mitchell, IN | $128K |
| Southern Indiana Community Health Care, INC | Orleans, IN | $74K |
| Southern Indiana Community Health Care, INC | English, IN | $19K |
| Southern Indiana Community Health Care, INC | French Lick, IN | $15K |
| Southern Indiana Community Health Care, INC | Salem, IN | $743.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.