Foundations Behavioral Health, LLC

Foundations Behavioral Health, LLC was paid $170K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 95% of everything it billed.

33Billing provider infoFOUNDATIONS BEHAVIORAL HEALTH, LLC
CLAREMORE, OK 74019

33aNPI1326429598assigned 06/14/2015

33bProvider typeMental Health Counselor

28Total paid$170K

24GClaims3,015

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Mental Health Counselor providers in Oklahoma

Rank by total paid#35 of 92

Median peer was paid$56K

This provider vs. median3.0×

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	521	$30K
2019	632	$32K
2020	464	$22K
2021	556	$31K
2022	436	$26K
2023	364	$25K
2024incomplete	42	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	95%	2,864	1,131	$162K
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	3.0%	57	50	$5K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	<1%	81	67	$1K
H0031	Mental health assessment, by non-physician	<1%	13	13	$1K

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 officialBALLARD, GRACE (EXECUTIVE DIRECTOR)