Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHEAST, INC.

NPI: 1164800165 · SAINT CLAIRSVILLE, OH 43950 · Federally Qualified Health Center (FQHC) · NPI assigned 05/11/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TONG, CHARLES controls 14+ related entities in our dataset. Read more

$739K
Total Medicaid Paid
50,774
Total Claims
32,288
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTONG, CHARLES (CFO)
NPI Enumeration Date05/11/2015

Related Entities

Other providers sharing the same authorized official: TONG, CHARLES

ProviderCityStateTotal Paid
SOUTHEAST, INC COLUMBUS OH $40.76M
SOUTHEAST, INC. COLUMBUS OH $2.45M
SOUTHEAST, INC. COLUMBUS OH $1.73M
CIRCLE HEALTH SERVICES CLEVELAND OH $716K
SOUTHEAST, INC COLUMBUS OH $581K
CIRCLE HEALTH SERVICES CLEVELAND OH $542K
SOUTHEAST, INC. CADIZ OH $120K
SOUTHEAST, INC. COLUMBUS OH $51K
SOUTHEAST INC NEW PHILADELPHIA OH $47K
SOUTHEAST INC MARTINS FERRY OH $36K
SOUTHEAST, INC. DELAWARE OH $35K
SOUTHEAST, INC. COLUMBUS OH $33K
SOUTHEAST INC WOODSFIELD OH $7K
SOUTHEAST INC COLUMBUS OH $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,674 $71K
2019 3,121 $53K
2020 5,917 $84K
2021 11,300 $162K
2022 12,225 $151K
2023 9,086 $129K
2024 6,451 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 8,483 5,023 $298K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,698 4,516 $205K
90837 Psychotherapy, 53 minutes with patient 1,752 1,032 $98K
90832 Psychotherapy, 30 minutes with patient 2,616 1,106 $66K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,534 839 $45K
90791 Psychiatric diagnostic evaluation 179 133 $12K
80305 1,686 656 $7K
90853 Group psychotherapy (other than of a multiple-family group) 121 57 $2K
90834 Psychotherapy, 45 minutes with patient 48 19 $2K
0012A 54 47 $2K
0011A 43 41 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 96 53 $795.17
81025 137 77 $562.54
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 13 $288.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 12 $212.85
36415 Collection of venous blood by venipuncture 24 13 $27.66
91301 106 102 $0.96
4004F 1,749 1,316 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 3,051 2,252 $0.00
1159F 1,402 1,161 $0.00
3077F 31 26 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 32 27 $0.00
2001F 4,346 3,402 $0.00
3075F 471 372 $0.00
3079F 1,737 1,433 $0.00
1034F 791 637 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 3,184 2,342 $0.00
1036F 1,628 1,365 $0.00
80320 723 377 $0.00
3008F 4,995 3,824 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 16 15 $0.00