Clinic
Methodist Health System Foundation, INC
Methodist Health System Foundation, INC was paid $609K by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoMETHODIST HEALTH SYSTEM FOUNDATION, INC
CHALMETTE, LA 70043
CHALMETTE, LA 70043
33aNPI1093846354assigned 03/08/2007
33bProvider typeStudent Health Clinic/Center
28Total paid$609K
24GClaims45,876
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Student Health Clinic/Center providers in Louisiana
Rank by total paid#16 of 56
Median peer was paid$163K
This provider vs. median3.7×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,732 | $84K | |
| 2019 | 8,578 | $109K | |
| 2020 | 5,124 | $50K | |
| 2021 | 6,610 | $71K | |
| 2022 | 6,172 | $98K | |
| 2023 | 6,366 | $102K | |
| 2024incomplete | 6,294 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 4,597 | 3,808 | $151K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 23% | 6,966 | 5,332 | $139K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 15% | 8,851 | 6,942 | $89K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.1% | 2,238 | 1,336 | $55K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.3% | 1,167 | 1,012 | $38K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 1,843 | 1,635 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 284 | 266 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 1,329 | 638 | $12K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 305 | 191 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 903 | 693 | $8K |
| 92551 | 1.2% | 1,004 | 886 | $7K | |
| 99384 | 1.2% | 98 | 83 | $7K |
40 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 128 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 388 | $5K |
| 96127 | <1% | 3,790 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 284 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 70 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 43 | $3K |
| 90620 | <1% | 353 | $3K | |
| 99173 | <1% | 1,432 | $2K | |
| 0012A | <1% | 78 | $2K | |
| 96160 | <1% | 3,030 | $2K | |
| 99401 | <1% | 344 | $2K | |
| 90674 | <1% | 109 | $1K | |
| 90756 | <1% | 85 | $1K | |
| 0001A | <1% | 32 | $1K | |
| 81003 | <1% | 736 | $1K | |
| 0011A | <1% | 99 | $992.79 | |
| 85018 | <1% | 557 | $888.30 | |
| 0002A | <1% | 32 | $615.38 | |
| 0013A | <1% | 18 | $525.46 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 21 | $506.52 |
| H0033 | Oral medication administration, direct observation | <1% | 99 | $379.37 |
| 90656 | <1% | 21 | $372.23 | |
| 94760 | <1% | 1,466 | $360.47 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 39 | $180.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 127 | $173.81 |
| 36416 | <1% | 1,429 | $169.68 | |
| 80061 | Lipid panel | <1% | 16 | $142.50 |
| 97803 | <1% | 13 | $98.29 | |
| 86580 | <1% | 19 | $79.22 | |
| 91301 | <1% | 141 | $74.16 | |
| 90715 | <1% | 16 | $64.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $27.00 |
| A6448 | Light compression bandage, elastic, knitted/woven, width less than three inches, per yard | <1% | 15 | $6.25 |
| 99177 | <1% | 48 | $2.00 | |
| 99072 | 0% | 654 | $0.00 | |
| 91300 | 0% | 73 | $0.00 | |
| 90661 | 0% | 48 | $0.00 | |
| 90734 | 0% | 60 | $0.00 | |
| 90686 | 0% | 302 | $0.00 | |
| 99000 | 0% | 59 | $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 officialBERON, WENDY (PRESIDENT)