Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Foundation Health Systems Corp.

Foundation Health Systems Corp. was paid $340K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is J1050, Injection, medroxyprogesterone acetate, 1 mg — 23% of everything it billed.

33Billing provider infoFOUNDATION HEALTH SYSTEMS CORP.
WINSTON SALEM, NC 27105
33aNPI1053379941assigned 05/02/2006
33bProvider typePhysician Assistant
28Total paid$340K
24GClaims47,539
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Physician Assistant providers in North Carolina

Rank by total paid#25 of 103
Median peer was paid$24K
This provider vs. median14×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20185,950$62K
20194,660$39K
20203,117$33K
20217,150$67K
202210,777$70K
20239,247$50K
2024incomplete6,638$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J1050 Injection, medroxyprogesterone acetate, 1 mg 23% 1,616 1,475 $80K
99199 Unlisted special service, procedure or report 18% 19,242 18,870 $62K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 984 878 $51K
81025 12% 5,860 5,018 $40K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 8.8% 337 298 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8.7% 2,081 1,833 $30K
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 4.4% 225 185 $15K
81003 2.8% 7,094 5,910 $10K
87210 2.4% 2,007 1,803 $8K
85018 2.1% 2,737 2,313 $7K
36415 Collection of venous blood by venipuncture 1.7% 3,025 2,624 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 101 85 $1K
7 more codes
90674 <1% 48 $884.78
90686 <1% 34 $347.55
81002 <1% 200 $237.03
99000 <1% 1,864 $16.00
0500F 0% 26 $0.00
36416 0% 46 $0.00
S0280 Medical home program, comprehensive care coordination and planning, initial plan 0% 12 $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 officialWALTON, LEEA (RCS MANAGER)
Same official

Other billing entities under WALTON, LEEA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.