Clinic
Southern Indiana Community Health Care, INC
Southern Indiana Community Health Care, INC was paid $766K by Medicaid between Feb 2018 and Oct 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
MARENGO, IN 47140
MARENGO, IN 47140
33aNPI1902313992assigned 12/29/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$766K
24GClaims28,389
24DCodes billed29
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#69 of 156
Median peer was paid$568K
This provider vs. median1.3×
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 | 1,553 | $32K | |
| 2019 | 2,646 | $90K | |
| 2020 | 3,143 | $100K | |
| 2021 | 4,035 | $127K | |
| 2022 | 6,726 | $158K | |
| 2023 | 9,401 | $245K | |
| 2024incomplete | 885 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 7,074 | 5,293 | $320K |
| 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 | 29% | 3,230 | 2,150 | $223K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 13% | 6,547 | 4,040 | $103K |
| 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 | 12% | 4,154 | 2,887 | $90K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.4% | 2,636 | 1,606 | $11K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 855 | 279 | $4K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 94 | 94 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | 27 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 49 | 32 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 128 | 108 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 85 | 55 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 192 | 96 | $907.47 |
17 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $870.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $648.93 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 36 | $493.14 |
| 90756 | <1% | 20 | $449.75 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $315.00 |
| 90686 | <1% | 30 | $256.95 | |
| 99305 | <1% | 45 | $86.82 | |
| 36416 | <1% | 25 | $78.48 | |
| 99307 | <1% | 14 | $77.66 | |
| 1159F | 0% | 2,169 | $0.00 | |
| 1160F | 0% | 457 | $0.00 | |
| 3078F | 0% | 67 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 52 | $0.00 |
| 3008F | 0% | 190 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 40 | $0.00 |
| 3074F | 0% | 101 | $0.00 | |
| 3079F | 0% | 25 | $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 | West Baden Springs, IN | $870K |
| 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.