Southeast Community Health Systems
Southeast Community Health Systems was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
HAMMOND, LA 70403
Next to other Federally Qualified Health Center (FQHC) providers in Louisiana
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 | 8,430 | $474K | |
| 2019 | 4,512 | $230K | |
| 2020 | 4,718 | $213K | |
| 2021 | 5,630 | $217K | |
| 2022 | 5,658 | $240K | |
| 2023 | 8,393 | $254K | |
| 2024incomplete | 5,164 | $343K |
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 | 79% | 14,039 | 9,269 | $1.55M |
| D0999 | Unspecified diagnostic procedure, by report | 12% | 3,009 | 2,023 | $243K |
| H2020 | Therapeutic behavioral services, per diem | 8.8% | 2,194 | 1,206 | $174K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 382 | 294 | $678.72 |
| 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% | 10,150 | 7,066 | $600.68 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 693 | 495 | $392.21 |
| D1110 | Prophylaxis - adult | <1% | 150 | 110 | $244.86 |
| 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% | 1,189 | 775 | $62.65 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,277 | 1,480 | $6.45 |
| 81002 | <1% | 672 | 468 | $4.06 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 882 | 602 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 220 | 130 | $0.00 |
20 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 795 | $0.00 |
| 36416 | 0% | 609 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 246 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 113 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 41 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 40 | $0.00 |
| 81001 | 0% | 46 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 16 | $0.00 |
| 82948 | 0% | 1,343 | $0.00 | |
| 81025 | 0% | 802 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 739 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 529 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 405 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 792 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 24 | $0.00 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 14 | $0.00 |
| 80061 | Lipid panel | 0% | 38 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 15 | $0.00 |
| 96160 | 0% | 26 | $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 |
|---|---|---|
| Southeast Community Health Systems | Zachary, LA | $5.43M |
| Southeast Community Health Systems | Independence, LA | $3.68M |
| Southeast Community Health Systems | Kentwood, LA | $3.54M |
| Southeast Community Health Systems | Greensburg, LA | $2.27M |
| Southeast Community Health Systems | Greensburg, LA | $1.76M |
| Southeast Community Health Systems | Greensburg, LA | $1.28M |
| Southeast Community Health Systems | Baton Rouge, LA | $994K |
| Southeast Community Health Systems | Greensburg, LA | $339K |
| Southeast Community Health Systems | Hammond, LA | $37K |
| Southeast Community Health Systems | Kentwood, LA | $15K |
| Southeast Community Health Systems | Kentwood, LA | $15K |
| Southeast Community Health Systems | Kentwood, LA | $6K |
| Southeast Community Health Systems | Kentwood, LA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.