ST. Thomas Community Health Center, INC
ST. Thomas Community Health Center, INC was paid $4.36M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoST. THOMAS COMMUNITY HEALTH CENTER, INC
NEW ORLEANS, LA 70130
NEW ORLEANS, LA 70130
33aNPI1295757326assigned 07/25/2006
33bProvider typeOptometrist
28Total paid$4.36M
24GClaims131,623
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#1 of 442
Median peer was paid$199K
This provider vs. median22×
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 | 71,723 | $2.12M | |
| 2019 | 28,116 | $796K | |
| 2020 | 1,863 | $117K | |
| 2021 | 2,029 | $106K | |
| 2022 | 6,430 | $290K | |
| 2023 | 11,856 | $410K | |
| 2024incomplete | 9,606 | $524K |
Box 24 · Service lines
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 | 90% | 35,939 | 24,341 | $3.93M |
| H2020 | Therapeutic behavioral services, per diem | 9.8% | 3,347 | 2,003 | $428K |
| 98960 | <1% | 110 | 41 | $4K | |
| 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 | <1% | 7,706 | 5,788 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,758 | 674 | $708.40 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 16,965 | 12,382 | $333.46 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,585 | 1,406 | $189.34 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 59 | 26 | $47.42 |
| 90836 | <1% | 24 | 14 | $46.99 | |
| 3077F | <1% | 2,605 | 2,064 | $45.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 936 | 816 | $39.50 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 444 | 318 | $28.92 |
51 more codes
| 3079F | <1% | 3,743 | $25.00 | |
| 3075F | <1% | 1,480 | $5.00 | |
| 3074F | <1% | 7,078 | $5.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 4,685 | $0.00 |
| 20600 | 0% | 15 | $0.00 | |
| 1160F | 0% | 8,416 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 94 | $0.00 |
| 81003 | 0% | 2,447 | $0.00 | |
| 3078F | 0% | 5,351 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 763 | $0.00 |
| 1159F | 0% | 2,132 | $0.00 | |
| 81025 | 0% | 1,075 | $0.00 | |
| 87210 | 0% | 623 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 407 | $0.00 |
| 83037 | 0% | 218 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 425 | $0.00 |
| 99173 | 0% | 165 | $0.00 | |
| 93224 | 0% | 155 | $0.00 | |
| 1033F | 0% | 245 | $0.00 | |
| 90838 | 0% | 137 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 213 | $0.00 |
| 94621 | 0% | 187 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 17 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 198 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 15 | $0.00 |
| 1126F | 0% | 11,152 | $0.00 | |
| 1111F | 0% | 812 | $0.00 | |
| 3080F | 0% | 1,942 | $0.00 | |
| 90688 | 0% | 93 | $0.00 | |
| 1125F | 0% | 1,338 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 906 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 208 | $0.00 |
| 85018 | 0% | 65 | $0.00 | |
| 82962 | 0% | 500 | $0.00 | |
| 81005 | 0% | 428 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 155 | $0.00 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 1,356 | $0.00 |
| 3008F | 0% | 214 | $0.00 | |
| 93351 | 0% | 62 | $0.00 | |
| 92551 | 0% | 75 | $0.00 | |
| 94760 | 0% | 16 | $0.00 | |
| 90674 | 0% | 113 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 165 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 22 | $0.00 |
| 93000 | 0% | 70 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 86 | $0.00 |
| 1031F | 0% | 24 | $0.00 | |
| 4010F | 0% | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 20 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 15 | $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 officialERWIN, DONALD (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST. Thomas Community Health Center, INC. | New Orleans, LA | $21.78M |
| ST. Thomas Community Health Center, INC | New Orleans, LA | $4.67M |
| ST. Thomas Community Health Center, INC. | Gretna, LA | $3.99M |
| ST. Thomas Community Health Center, INC. | New Orleans, LA | $1.80M |
| ST. Thomas Community Health Center, INC. | New Orleans, LA | $943K |
| ST. Thomas Community Health Center, INC. | New Orleans, LA | $807K |
| ST. Thomas Community Health Center, INC. | New Orleans, LA | $554K |
| ST Thomas Specialty Services LLC | New Orleans, LA | $519K |
| ST. Thomas Community Health Center, INC. | New Orleans, LA | $383K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.