Southeast, INC.
Southeast, INC. was paid $739K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 40% of everything it billed.
SAINT CLAIRSVILLE, OH 43950
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,451 | $89K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 40% | 8,483 | 5,023 | $298K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 9,698 | 4,516 | $205K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 13% | 1,752 | 1,032 | $98K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.0% | 2,616 | 1,106 | $66K |
| 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 | 6.1% | 1,534 | 839 | $45K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 179 | 133 | $12K |
| 80305 | <1% | 1,686 | 656 | $7K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 121 | 57 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 48 | 19 | $2K |
| 0012A | <1% | 54 | 47 | $2K | |
| 0011A | <1% | 43 | 41 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 96 | 53 | $795.17 |
19 more codes
| 81025 | <1% | 137 | $562.54 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $288.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $212.85 |
| 36415 | Collection of venous blood by venipuncture | <1% | 24 | $27.66 |
| 91301 | <1% | 106 | $0.96 | |
| 4004F | 0% | 1,749 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,051 | $0.00 |
| 1159F | 0% | 1,402 | $0.00 | |
| 3077F | 0% | 31 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 32 | $0.00 |
| 2001F | 0% | 4,346 | $0.00 | |
| 3075F | 0% | 471 | $0.00 | |
| 3079F | 0% | 1,737 | $0.00 | |
| 1034F | 0% | 791 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 3,184 | $0.00 |
| 1036F | 0% | 1,628 | $0.00 | |
| 80320 | 0% | 723 | $0.00 | |
| 3008F | 0% | 4,995 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.