GOOD SAMARITAN FAMILY HEALTH CENTER, INC

NPI: 1851161095 · BRUCEVILLE, IN 47516 · Federally Qualified Health Center (FQHC) · NPI assigned 01/08/2024

$2K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2024-09

First Month

2024-09

Last Month

Provider Details

Authorized Official	EMMONS, JENNIFER (CEO)
Parent Organization	GOOD SAMARITAN FAMILY HEALTH CENTER, INC
NPI Enumeration Date	01/08/2024

Other providers sharing the same authorized official: EMMONS, JENNIFER

Provider	City	State	Total Paid
GOOD SAMARITAN FAMILY HEALTH CENTER, INC	VINCENNES	IN	$2.78M
GOOD SAMARITAN FAMILY HEALTH CENTER, INC.	VINCENNES	IN	$2.57M
GOOD SAMARITAN FAMILY HEALTH CENTER, INC	VINCENNES	IN	$1.37M
GOOD SAMARITAN FAMILY HEALTH CENTER, INC	VINCENNES	IN	$676K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC	WASHINGTON	IN	$465K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC.	PETERSBURG	IN	$213K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC	LOOGOOTEE	IN	$117K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC	VINCENNES	IN	$23K
GOOD SAMARITAN FAMILY HEALTH CENTER, INC.	VINCENNES	IN	$0.00

Year	Claims	Total Paid
2024	29	$2K

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	15	15	$1K
90834	Psychotherapy, 45 minutes with patient	14	14	$799.81