Foundation Health Services, PLLC
Foundation Health Services, PLLC was paid $520K by Medicaid between Feb 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoFOUNDATION HEALTH SERVICES, PLLC
GRAY, TN 37615
GRAY, TN 37615
33aNPI1376922278assigned 05/26/2015
33bProvider typeChiropractor
28Total paid$520K
24GClaims10,407
24DCodes billed19
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Chiropractor providers in Tennessee
Rank by total paid#1 of 87
Median peer was paid$8K
This provider vs. median66×
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 | 274 | $2K | |
| 2021 | 284 | $15K | |
| 2022 | 2,152 | $108K | |
| 2023 | 4,019 | $207K | |
| 2024incomplete | 3,678 | $188K |
Box 24 · Service lines
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 | 32% | 3,029 | 2,500 | $168K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 28% | 1,206 | 1,082 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,791 | 1,567 | $67K |
| 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 | 12% | 839 | 716 | $61K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.4% | 1,000 | 896 | $49K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.2% | 1,792 | 1,641 | $17K |
| 0240U | <1% | 52 | 48 | $5K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 75 | 55 | $3K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 79 | 55 | $1K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 118 | 25 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 21 | 16 | $667.03 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 46 | 40 | $511.33 |
7 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 116 | $372.54 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $200.82 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 40 | $180.00 |
| 87420 | <1% | 13 | $124.34 | |
| 81003 | <1% | 57 | $72.20 | |
| 99072 | 0% | 32 | $0.00 | |
| 99000 | 0% | 83 | $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 officialMADILL, JONATHAN (OWNER)