SHALOM HEALTH CARE CENTER, INC.
NPI: 1992924633
· INDIANAPOLIS, IN 46222
· 261QF0400X
$4.45M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
17,963 |
$352K |
| 2019 |
32,263 |
$825K |
| 2020 |
15,849 |
$480K |
| 2021 |
22,274 |
$719K |
| 2022 |
14,432 |
$281K |
| 2023 |
48,981 |
$969K |
| 2024 |
43,943 |
$821K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
62,436 |
38,853 |
$2.39M |
| 99212 |
|
25,519 |
15,987 |
$641K |
| T1015 |
Clinic service |
65,808 |
37,874 |
$573K |
| 99214 |
|
9,515 |
6,908 |
$544K |
| 90832 |
|
2,265 |
1,362 |
$81K |
| 90837 |
|
850 |
530 |
$60K |
| 99202 |
|
890 |
783 |
$39K |
| 99203 |
|
746 |
569 |
$26K |
| 96127 |
|
6,291 |
4,809 |
$22K |
| 90792 |
|
346 |
238 |
$22K |
| 36415 |
|
3,817 |
2,968 |
$11K |
| 90791 |
|
98 |
73 |
$9K |
| 86703 |
|
1,704 |
1,217 |
$7K |
| 90834 |
|
55 |
29 |
$3K |
| 83036 |
|
1,963 |
1,449 |
$3K |
| 90471 |
|
491 |
326 |
$3K |
| 87880 |
|
321 |
264 |
$2K |
| 99204 |
|
55 |
42 |
$2K |
| 90686 |
|
237 |
169 |
$2K |
| 81002 |
|
1,347 |
940 |
$2K |
| 99201 |
|
62 |
62 |
$1K |
| 87804 |
|
52 |
39 |
$555.07 |
| 81025 |
|
127 |
108 |
$541.15 |
| 99396 |
|
30 |
24 |
$520.77 |
| 36416 |
|
1,102 |
763 |
$510.78 |
| 99408 |
|
98 |
85 |
$502.30 |
| 99173 |
|
568 |
518 |
$381.00 |
| 80061 |
|
490 |
394 |
$150.70 |
| 99406 |
|
42 |
27 |
$146.68 |
| 99215 |
Prolong outpt/office vis |
84 |
44 |
$114.05 |
| 90472 |
|
19 |
14 |
$89.00 |
| 82948 |
|
30 |
25 |
$78.64 |
| 97010 |
|
3,304 |
2,407 |
$35.76 |
| 80307 |
|
470 |
380 |
$0.00 |
| 84439 |
|
142 |
105 |
$0.00 |
| 80305 |
|
951 |
738 |
$0.00 |
| 87491 |
|
105 |
87 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
177 |
167 |
$0.00 |
| 87081 |
|
25 |
12 |
$0.00 |
| 80053 |
|
1,427 |
1,179 |
$0.00 |
| 87591 |
|
103 |
85 |
$0.00 |
| 87635 |
|
290 |
199 |
$0.00 |
| H0049 |
Alcohol/drug screening |
484 |
405 |
$0.00 |
| 99070 |
|
84 |
52 |
$0.00 |
| 87490 |
|
25 |
12 |
$0.00 |
| 87661 |
|
103 |
85 |
$0.00 |
| 85027 |
|
299 |
262 |
$0.00 |
| 85025 |
|
113 |
99 |
$0.00 |
| 84443 |
|
145 |
107 |
$0.00 |