Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHALOM HEALTH CARE CENTER, INC.

NPI: 1992924633 · INDIANAPOLIS, IN 46222 · Federally Qualified Health Center (FQHC) · NPI assigned 04/24/2007

$4.45M
Total Medicaid Paid
195,705
Total Claims
123,874
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialORTEGA, LEONARDO (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/24/2007

Related Entities

Other providers sharing the same authorized official: ORTEGA, LEONARDO

ProviderCityStateTotal Paid
SHALOM HEALTH CARE CENTER, INC. INDIANAPOLIS IN $2.06M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62,436 38,853 $2.39M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25,519 15,987 $641K
T1015 Clinic visit/encounter, all-inclusive 65,808 37,874 $573K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,515 6,908 $544K
90832 Psychotherapy, 30 minutes with patient 2,265 1,362 $81K
90837 Psychotherapy, 53 minutes with patient 850 530 $60K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 890 783 $39K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 746 569 $26K
96127 6,291 4,809 $22K
90792 Psychiatric diagnostic evaluation with medical services 346 238 $22K
36415 Collection of venous blood by venipuncture 3,817 2,968 $11K
90791 Psychiatric diagnostic evaluation 98 73 $9K
86703 1,704 1,217 $7K
90834 Psychotherapy, 45 minutes with patient 55 29 $3K
83036 Hemoglobin; glycosylated (A1C) 1,963 1,449 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 491 326 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 321 264 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 55 42 $2K
90686 237 169 $2K
81002 1,347 940 $2K
99201 62 62 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 52 39 $555.07
81025 127 108 $541.15
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 30 24 $520.77
36416 1,102 763 $510.78
99408 98 85 $502.30
99173 568 518 $381.00
80061 Lipid panel 490 394 $150.70
99406 42 27 $146.68
99215 Prolong outpt/office vis 84 44 $114.05
90472 Immunization administration, each additional vaccine (list separately) 19 14 $89.00
82948 30 25 $78.64
97010 3,304 2,407 $35.76
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 470 380 $0.00
84439 142 105 $0.00
80305 951 738 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 105 87 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 177 167 $0.00
87081 25 12 $0.00
80053 Comprehensive metabolic panel 1,427 1,179 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 103 85 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 290 199 $0.00
H0049 Alcohol and/or drug screening 484 405 $0.00
99070 84 52 $0.00
87490 25 12 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 103 85 $0.00
85027 299 262 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 113 99 $0.00
84443 Thyroid stimulating hormone (TSH) 145 107 $0.00