Medical Foundation, INC.
Medical Foundation, INC. was paid $1.82M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
MERIDIAN, MS 39301
Next to other Family Medicine 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 | 5,315 | $118K | |
| 2019 | 9,080 | $256K | |
| 2020 | 9,696 | $227K | |
| 2021 | 7,878 | $237K | |
| 2022 | 13,933 | $348K | |
| 2023 | 17,938 | $370K | |
| 2024incomplete | 16,862 | $265K |
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 | 30% | 16,280 | 14,115 | $549K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 4,798 | 4,270 | $296K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 8.9% | 5,811 | 4,545 | $162K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 5,881 | 5,111 | $154K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 2,646 | 2,290 | $131K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.6% | 494 | 355 | $66K |
| 88307 | 3.6% | 1,221 | 1,102 | $65K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.0% | 1,844 | 1,690 | $54K |
| 59426 | 2.9% | 509 | 295 | $52K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.4% | 9,515 | 8,331 | $43K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 2.1% | 190 | 143 | $38K |
| 59425 | 2.1% | 373 | 318 | $38K |
72 more codes
| 88342 | 1.0% | 1,195 | $19K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 546 | $13K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 65 | $13K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,560 | $11K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 131 | $11K |
| 71045 | Radiologic examination, chest; single view | <1% | 2,358 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 176 | $8K |
| 80061 | Lipid panel | <1% | 431 | $8K |
| 93000 | <1% | 1,191 | $8K | |
| 01961 | <1% | 52 | $7K | |
| 88304 | <1% | 940 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 358 | $6K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 314 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 706 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 421 | $4K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 159 | $4K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 155 | $4K |
| 76801 | <1% | 92 | $3K | |
| 88141 | <1% | 158 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 156 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 15 | $2K |
| 74018 | <1% | 270 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 660 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 132 | $2K |
| 00126 | <1% | 30 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $1K |
| 82962 | <1% | 592 | $1K | |
| 69210 | <1% | 54 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 252 | $995.91 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 646 | $949.37 |
| 20610 | <1% | 34 | $904.59 | |
| 92587 | <1% | 82 | $653.62 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 122 | $600.55 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 16 | $513.04 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 39 | $492.63 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 25 | $431.73 |
| 72110 | <1% | 54 | $417.33 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 38 | $392.95 |
| 81001 | <1% | 23 | $307.43 | |
| 92567 | <1% | 30 | $280.82 | |
| 00731 | <1% | 73 | $214.78 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 26 | $213.11 |
| 93970 | <1% | 12 | $207.11 | |
| 73560 | <1% | 29 | $196.56 | |
| 81002 | <1% | 105 | $174.34 | |
| 82043 | <1% | 15 | $161.14 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 81 | $133.02 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 21 | $96.95 |
| 88302 | <1% | 12 | $88.96 | |
| 00811 | <1% | 20 | $87.50 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 87 | $56.10 |
| 99459 | <1% | 43 | $44.00 | |
| 99490 | Ccm add 20min | <1% | 12 | $21.84 |
| 99024 | 0% | 389 | $0.00 | |
| 3008F | 0% | 1,813 | $0.00 | |
| 3074F | 0% | 603 | $0.00 | |
| 3066F | 0% | 429 | $0.00 | |
| 4010F | 0% | 1,136 | $0.00 | |
| 3061F | 0% | 154 | $0.00 | |
| 3079F | 0% | 126 | $0.00 | |
| 3044F | 0% | 166 | $0.00 | |
| 3080F | 0% | 16 | $0.00 | |
| 3075F | 0% | 42 | $0.00 | |
| 1160F | 0% | 3,966 | $0.00 | |
| 1159F | 0% | 6,874 | $0.00 | |
| 01992 | 0% | 25 | $0.00 | |
| 3078F | 0% | 389 | $0.00 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 0% | 27 | $0.00 |
| 70450 | Computed tomography, head or brain; without contrast material | 0% | 24 | $0.00 |
| 0502F | 0% | 64 | $0.00 | |
| 82570 | 0% | 16 | $0.00 | |
| 3077F | 0% | 34 | $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 |
| 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 |
| Laird Hospital, INC. | Philadelphia, MS | $898K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.