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NPI 1104027879 · Indianapolis, IN · Nurse Practitioner
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The Health And Hospital Corporation Of Marion County is a nurse practitioner provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 93 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | The Health And Hospital Corporation Of Marion County |
| Address | 720 Eskenazi Ave |
| City | Indianapolis |
| State | IN |
| ZIP | 46202 |
| Taxonomy | Nurse Practitioner |
| NPI Enumerated | May 30, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $30.1M |
| Medicare | $0 |
This provider is effectively a Medicaid-focused practice: there is no Medicare billing on file and lifetime Medicaid revenue is reported at $30.1M, indicating a single‑payer footprint in the available claims data. Analysts should treat Medicare comparisons as inapplicable for this entity.
Medicaid revenue is highly concentrated in a small set of outpatient behavioral-health and E/M codes: the precomputed top 3 Medicaid codes account for 58.0% of total Medicaid revenue, led by 90837 ($9.6M, 32.3%), followed by 90834 ($3.9M, 13.3%) and 99214 ($3.7M, 12.4%). This concentration suggests that a majority of paid Medicaid dollars flow through a narrow set of psychotherapy and moderate-complexity office visits.
The code mix points to a behavioral-health–centric operation with integrated medical management: high-revenue psychotherapy codes 90837, 90834, 90832 and initial evaluations 90791/90792 dominate alongside office E/M codes such as 99214 and 99213. This pattern implies routine delivery of longer psychotherapy sessions and concurrent management of established patients rather than a focus on procedural specialty services.
In-state competitive standing is strong for multiple behavioral-health services. The provider ranks #3 of 687 for 90837 (100th percentile; extreme outlier), ranks #19 of 584 for 90834 (97th percentile), and ranks #8 of 521 for 90791 (99th percentile; notably above typical state volume), indicating dominant or near-dominant volume in core psychotherapy and psychiatric evaluation codes within Indiana.
There are additional extreme-volume lines outside classic psychotherapy: 93010 shows 199.2K claims and $1.2M revenue and ranks #3 of 285 in-state (99th percentile; extreme outlier), while H2011 (crisis intervention) generates $687.5K and ranks #1 of 22 (100th percentile; extreme outlier). These signals point to large-scale routine ECG interpretation volume and a leading statewide role in billed crisis-intervention services.
The provider billings include substantial inpatient/observation E/M activity alongside outpatient services, showing care across settings: 99232 reports 26K claims and $1.2M revenue (4.2% of Medicaid revenue), 99231 reports 11.7K claims and $269.6K revenue (0.9%), and 99238 reports 5K claims and $270.3K revenue (0.9%). This mix suggests operational capacity for hospital-based follow-up and discharge management as part of the overall service portfolio.
Claim volumes reflect very high throughput in behavioral-health encounters: 90837 has 105.3K claims and 90834 has 65.8K claims, while diagnostic 93010 shows 199.2K claims, underscoring a high-volume practice model that processes large numbers of short and long psychotherapy encounters plus routine EKG work. These volumes can drive operational considerations like staffing, scheduling, and payer contract terms.
The NPI was enumerated on 2007-05-30 (~19 years ago), indicating long-tenured billing presence in the market. Combined with the concentrated Medicaid revenue and repeated high statewide ranks, this tenure supports the interpretation of an established behavioral-health provider with sustained Medicaid engagement in Indianapolis, IN.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
93 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 105,290 | $90 | $9.6M |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 65,800 | $60 | $3.9M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 54,660 | $70 | $3.7M |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 22,430 | $100 | $2.2M |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 38,220 | $50 | $1.7M |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 26,030 | $50 | $1.2M |
| 90847 | A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the… | 15,910 | $80 | $1.2M |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 199,220 | $10 | $1.2M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 23,140 | $40 | $879.2K |
| H2011 | Crisis intervention service, per 15 minutes | 9,170 | $80 | $687.5K |
Showing 1–10 of 93
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
93 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2014 | Skills training and development, per 15 minutes | 38 | 50 | 75,600 | $130 | $34.8M |
| T1016 | Case management, each 15 minutes | 38 | 50 | 8,980 | $30 | $3.8M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 359 | 360 | 3,490 | $110 | $1.5M |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 123 | 130 | 3,770 | $60 | $617.7K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 19 | 580 | 710 | $60 | $582.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 54 | 2,120 | 870 | $60 | $450.6K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 3 | 690 | 1,070 | $80 | $422.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 178 | 2,380 | 920 | $50 | $376.8K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 25 | 220 | 1,380 | $20 | $360.2K |
| 99218 | N/A | 12 | 50 | 180 | $350 | $327.2K |
Showing 1–10 of 93
Other providers in the same ZIP code as The Health And Hospital Corporation Of Marion County, ranked by combined Medicare and Medicaid revenue.
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