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THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

Nurse Practitioner·INDIANAPOLIS, IN·NPI: 1104027879Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$30.2M

$30,188,863

Total Claims

694K

Beneficiaries

444K

1.6 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+94%
2019
$3.9M
+32%
2020
$5.1M
-14%
2021
$4.4M
+19%
2022
$5.2M
+15%
2023
$6.0M
-37%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 32% of total spending.

90837Normal range

Psychotherapy, 60 minutes

$9.6M

105K claims · 31.9%

Your Cost: $91.40/claim|Median: $85.66
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$4.0M

66K claims · 13.2%

Your Cost: $60.49/claim|Median: $63.65
1.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$3.7M

55K claims · 12.2%

Your Cost: $67.11/claim|Median: $53.41
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$2.2M

22K claims · 7.2%

Your Cost: $96.80/claim|Median: $99.21
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$1.7M

38K claims · 5.7%

Your Cost: $44.78/claim|Median: $41.28
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.2M

26K claims · 4.1%

Your Cost: $47.74/claim|Median: $23.99
2.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.2M

199K claims · 4.1%

Your Cost: $6.21/claim|Median: $5.60
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$1.2M

16K claims · 4.0%

Your Cost: $76.46/claim|Median: $77.33
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$875K

23K claims · 2.9%

Your Cost: $37.80/claim|Median: $37.81
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$683K

9,167 claims · 2.3%

Your Cost: $74.54/claim|Median: $215.80
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$597K

4,913 claims · 2.0%

Your Cost: $121.57/claim|Median: $108.91
1.1× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$370K

3,971 claims · 1.2%

Your Cost: $93.10/claim|Median: $47.08
2.0× median
90853Normal range

Group psychotherapy

$353K

29K claims · 1.2%

Your Cost: $12.16/claim|Median: $25.02
0.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$272K

5,005 claims · 0.9%

Your Cost: $54.42/claim|Median: $37.22
1.5× median
99231Normal range

Subsequent hospital care, per day, low complexity

$266K

12K claims · 0.9%

Your Cost: $22.69/claim|Median: $16.77
1.4× median
90846Normal range

Family psychotherapy without patient, 50 min

$253K

3,558 claims · 0.8%

Your Cost: $71.09/claim|Median: $76.61
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$238K

2,877 claims · 0.8%

Your Cost: $82.59/claim|Median: $74.09
1.1× median
90785Top 10%

$223K

18K claims · 0.7%

Your Cost: $12.63/claim|Median: $6.43
2.0× median
90839Normal range

Psychotherapy for crisis, first 60 min

$189K

2,974 claims · 0.6%

Your Cost: $63.45/claim|Median: $83.98
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$188K

5,753 claims · 0.6%

Your Cost: $32.68/claim|Median: $55.04
0.6× median
99349Normal range

$99K

5,269 claims · 0.3%

Your Cost: $18.80/claim|Median: $24.29
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$99K

1,572 claims · 0.3%

Your Cost: $62.80/claim|Median: $51.25
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$57K

1,305 claims · 0.2%

Your Cost: $43.90/claim|Median: $35.30
1.2× median
92015Normal range

Determination of refractive state

$56K

5,426 claims · 0.2%

Your Cost: $10.35/claim|Median: $10.36
1.0× median
99220Top 10%

$49K

375 claims · 0.2%

Your Cost: $131.17/claim|Median: $73.56
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$46K

2,045 claims · 0.2%

Your Cost: $22.31/claim|Median: $25.06
0.9× median
99309Normal range

Nursing facility care, subsequent, low complexity

$39K

2,282 claims · 0.1%

Your Cost: $17.31/claim|Median: $14.00
1.2× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$32K

748 claims · 0.1%

Your Cost: $42.85/claim|Median: $41.92
1.0× median
99348Normal range

$31K

2,072 claims · 0.1%

Your Cost: $15.05/claim|Median: $17.17
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$31K

3,030 claims · 0.1%

Your Cost: $10.20/claim|Median: $9.56
1.1× median
99217Normal range

$27K

809 claims · 0.1%

Your Cost: $33.15/claim|Median: $31.89
1.0× median
99218Normal range

$23K

406 claims · 0.1%

Your Cost: $56.94/claim|Median: $51.50
1.1× median
99223Normal range

Initial hospital care, per day, high complexity

$21K

344 claims · 0.1%

Your Cost: $61.32/claim|Median: $67.32
0.9× median
99225Normal range

$19K

560 claims · 0.1%

Your Cost: $34.62/claim|Median: $20.96
1.7× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$17K

162 claims · 0.1%

Your Cost: $103.17/claim|Median: $62.48
1.7× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$16K

238 claims · 0.1%

Your Cost: $66.60/claim|Median: $38.83
1.7× median
J1631Top 25%

$15K

468 claims · 0.1%

Your Cost: $33.08/claim|Median: $15.34
2.2× median
99219Normal range

$12K

270 claims · 0.0%

Your Cost: $43.38/claim|Median: $63.35
0.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$11K

1,832 claims · 0.0%

Your Cost: $5.98/claim|Median: $22.44
0.3× median
99308Normal range

Nursing facility care, subsequent, straightforward

$11K

991 claims · 0.0%

Your Cost: $10.84/claim|Median: $9.79
1.1× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$10K

82 claims · 0.0%

Your Cost: $124.49/claim|Median: $59.72
2.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$10K

113 claims · 0.0%

Your Cost: $87.26/claim|Median: $72.71
1.2× median
Q0111Top 25%

$8K

997 claims · 0.0%

Your Cost: $8.32/claim|Median: $3.66
2.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$8K

102 claims · 0.0%

Your Cost: $77.75/claim|Median: $43.85
1.8× median
86703Normal range

$7K

900 claims · 0.0%

Your Cost: $8.32/claim|Median: $10.37
0.8× median
V2020Normal range

Frames, purchases

$7K

346 claims · 0.0%

Your Cost: $21.46/claim|Median: $19.33
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$7K

476 claims · 0.0%

Your Cost: $14.11/claim|Median: $12.93
1.1× median
81025Normal range

Urine pregnancy test

$6K

1,189 claims · 0.0%

Your Cost: $5.10/claim|Median: $4.81
1.1× median
96132Normal range

$6K

281 claims · 0.0%

Your Cost: $20.85/claim|Median: $70.53
0.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$5K

595 claims · 0.0%

Your Cost: $9.00/claim|Median: $32.55
0.3× median

Other Top Providers in Indiana

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Bowen Health INC

Psychiatric Hospital

$509.3M

Centerstone of Indiana, Inc.

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$318.9M

A.w. Holdings LLC

Psychologist Intellectual & Developmental Disabil

$260.2M

Meridian Services

Community/Behavioral Health

$245.2M

The Health and Hospital Corporation of Marion County

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$231.5M

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