Medicaid Provider Spending

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

SOUTHEAST, INC.

NPI: 1194002857 · COLUMBUS, OH 43215 · Federally Qualified Health Center (FQHC) · NPI assigned 11/09/2011

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

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

$2.45M
Total Medicaid Paid
136,441
Total Claims
98,288
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTONG, CHARLES (CFO)
NPI Enumeration Date11/09/2011

Related Entities

Other providers sharing the same authorized official: TONG, CHARLES

ProviderCityStateTotal Paid
SOUTHEAST, INC COLUMBUS OH $40.76M
SOUTHEAST, INC. COLUMBUS OH $1.73M
SOUTHEAST, INC. SAINT CLAIRSVILLE OH $739K
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 13,238 $440K
2019 13,158 $411K
2020 20,466 $380K
2021 33,975 $467K
2022 28,887 $390K
2023 16,144 $218K
2024 10,573 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 24,364 16,553 $1.37M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,184 11,713 $455K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,553 7,143 $417K
90791 Psychiatric diagnostic evaluation 1,262 946 $85K
90837 Psychotherapy, 53 minutes with patient 1,000 567 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,997 1,127 $24K
90834 Psychotherapy, 45 minutes with patient 268 145 $7K
90832 Psychotherapy, 30 minutes with patient 327 192 $6K
0012A 152 140 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 424 260 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 603 305 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 171 107 $4K
99215 Prolong outpt/office vis 68 30 $3K
0011A 130 121 $3K
82962 2,465 1,375 $3K
90686 231 150 $3K
0064A 105 84 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 180 95 $2K
0031A 73 70 $2K
0134A 74 56 $2K
91322 26 13 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 147 101 $1K
90688 97 59 $874.16
90732 16 14 $861.84
80305 238 169 $751.41
90480 26 13 $733.72
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 15 12 $352.22
90472 Immunization administration, each additional vaccine (list separately) 39 32 $208.22
80320 78 60 $199.05
91301 320 312 $2.71
1036F 3,064 2,641 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 8,584 7,112 $0.00
3075F 1,578 1,396 $0.00
3079F 5,398 4,700 $0.00
2001F 11,887 9,848 $0.00
3008F 13,888 11,573 $0.00
3080F 669 585 $0.00
1034F 1,333 1,052 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 1,371 1,176 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 118 94 $0.00
3044F 24 18 $0.00
1111F 17 17 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 8,446 7,046 $0.00
4004F 4,951 4,326 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,576 1,358 $0.00
3077F 1,436 1,260 $0.00
1159F 2,379 2,043 $0.00
3046F 32 25 $0.00
91313 57 54 $0.00