Medical Foundation, INC.
Medical Foundation, INC. was paid $309K by Medicaid between Jan 2018 and Aug 2022, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
MERIDIAN, MS 39301
Next to other Pediatrics Physician providers in Mississippi
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 | 11,517 | $160K | |
| 2019 | 7,590 | $59K | |
| 2020 | 5,038 | $37K | |
| 2021 | 4,530 | $33K | |
| 2022 | 1,844 | $20K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 8,288 | 7,871 | $176K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 6,005 | 1,679 | $39K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.3% | 1,232 | 1,143 | $19K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.8% | 951 | 947 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 300 | 288 | $12K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.2% | 7,051 | 5,894 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 542 | 519 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.7% | 756 | 339 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 97 | 90 | $4K |
| 71045 | Radiologic examination, chest; single view | 1.1% | 2,217 | 1,894 | $3K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 141 | 140 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 409 | 393 | $2K |
34 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 81 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 73 | $2K |
| 93000 | <1% | 547 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 37 | $1K |
| 95886 | <1% | 29 | $1K | |
| 99284 | Emergency room visit (serious) | <1% | 94 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 181 | $898.64 |
| 99490 | Ccm add 20min | <1% | 131 | $714.12 |
| 99283 | Emergency room visit (moderate) | <1% | 42 | $652.67 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 66 | $471.97 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 40 | $316.96 |
| 92567 | <1% | 43 | $279.90 | |
| 88342 | <1% | 50 | $191.49 | |
| 95816 | <1% | 13 | $182.21 | |
| 74018 | <1% | 31 | $167.69 | |
| 95813 | <1% | 13 | $129.02 | |
| 82962 | <1% | 412 | $68.33 | |
| 99442 | <1% | 14 | $51.35 | |
| 99441 | <1% | 42 | $47.75 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 93 | $19.95 |
| 81002 | <1% | 17 | $18.78 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 149 | $16.20 |
| 81000 | <1% | 40 | $14.37 | |
| 80061 | Lipid panel | 0% | 30 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 32 | $0.00 |
| 86703 | 0% | 12 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 16 | $0.00 |
| 82950 | 0% | 13 | $0.00 | |
| 80050 | General health panel | 0% | 12 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 63 | $0.00 |
| 87088 | 0% | 19 | $0.00 | |
| 86780 | 0% | 13 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 51 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 31 | $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 |
|---|---|---|
| Rush Medical Foundation | Meridian, MS | $29.41M |
| Laird Hospital, INC. | Union, MS | $7.23M |
| Laird Hospital, INC. | Meridian, MS | $5.90M |
| Laird Hospital, INC | Meridian, MS | $5.27M |
| Rush Medical Foundation | Quitman, MS | $4.69M |
| Kemper, Cah, INC | Livingston, AL | $4.50M |
| Medical Foundation, INC. | Meridian, MS | $4.20M |
| Kemper Cah, INC. | De Kalb, MS | $4.06M |
| Scott Regional Medical Center, INC. | Morton, MS | $3.77M |
| Kemper Cah, INC | Meridian, MS | $3.39M |
| Rush Hospital/Butler, INC | Butler, AL | $1.94M |
| Medical Foundation, INC. | Meridian, MS | $1.82M |
| The Medical Store, INC. | Meridian, MS | $1.66M |
| Rush Medical Foundation | Meridian, MS | $1.61M |
| Medical Foundation, INC. | Meridian, MS | $1.37M |
| Laird Hospital, INC. | Union, MS | $1.31M |
| Medical Foundation, INC. | Meridian, MS | $1.27M |
| Scott Regional Medical Center, INC. | Morton, MS | $1.21M |
| Rush Medical Foundation | Quitman, MS | $978K |
| Kemper Cah, INC | Meridian, MS | $910K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.