Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Southeast Community Health Systems

Southeast Community Health Systems was paid $3.68M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.

33Billing provider infoSOUTHEAST COMMUNITY HEALTH SYSTEMS
INDEPENDENCE, LA 70443
33aNPI1053749739assigned 10/16/2013
28Total paid$3.68M
24GClaims79,430
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Louisiana

Rank by total paid#47 of 272
Median peer was paid$574K
This provider vs. median6.4×

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 CYPRIAN, ALECIA controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20186,811$414K
20198,225$465K
20208,786$312K
202117,713$490K
202212,609$528K
202314,339$717K
2024incomplete10,947$754K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 64% 25,113 15,785 $2.36M
H2020 Therapeutic behavioral services, per diem 19% 6,933 3,903 $686K
D0999 Unspecified diagnostic procedure, by report 17% 6,744 4,954 $624K
D7140 Extraction, erupted tooth or exposed root <1% 1,687 675 $3K
0001A <1% 617 212 $2K
0011A <1% 531 241 $2K
0012A <1% 579 233 $1K
D0150 Comprehensive oral evaluation - new or established patient <1% 944 748 $1K
0002A <1% 521 140 $976.20
D0210 Intraoral - complete series of radiographic images <1% 593 436 $849.60
D0140 Limited oral evaluation - problem focused <1% 629 420 $796.79
D1110 Prophylaxis - adult <1% 443 363 $725.91
45 more codes
0003A <1% 54 $259.10
0054A <1% 88 $222.48
0071A <1% 267 $222.18
D0220 Intraoral - periapical first radiographic image <1% 529 $198.01
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,240 $139.43
0031A <1% 55 $104.80
0072A <1% 69 $74.16
0064A <1% 123 $74.16
99214 Doctor's office visit, returning patient (more involved) <1% 2,214 $62.65
99213 Doctor's office visit, returning patient (routine) <1% 13,922 $41.53
36415 Collection of venous blood by venipuncture <1% 2,960 $2.15
91301 0% 883 $0.00
80053 Comprehensive metabolic panel 0% 277 $0.00
90674 0% 14 $0.00
D0120 Dental checkup, returning patient 0% 94 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 128 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 121 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 825 $0.00
90834 Psychotherapy session, about 45 minutes 0% 720 $0.00
36416 0% 182 $0.00
92551 0% 42 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 239 $0.00
91305 0% 207 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 266 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 118 $0.00
85018 0% 43 $0.00
G0467 Community health center visit, returning patient 0% 14 $0.00
90656 0% 16 $0.00
91303 0% 48 $0.00
91306 0% 123 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 2,330 $0.00
90791 Psychiatric diagnostic evaluation 0% 582 $0.00
90832 Psychotherapy session, about 30 minutes 0% 1,400 $0.00
80061 Lipid panel 0% 249 $0.00
99173 0% 64 $0.00
91300 0% 1,431 $0.00
81002 0% 251 $0.00
99203 Doctor's office visit, new patient (routine) 0% 275 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 61 $0.00
99201 0% 156 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 12 $0.00
96160 0% 74 $0.00
90836 0% 296 $0.00
90838 0% 18 $0.00
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 0% 16 $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.

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