Southcentral Foundation
Southcentral Foundation was paid $30.71M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
WASILLA, AK 99654
Next to other Primary Care Clinic/Center providers in Alaska
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 | 7,286 | $2.09M | |
| 2019 | 9,961 | $3.17M | |
| 2020 | 7,322 | $2.21M | |
| 2021 | 10,477 | $3.98M | |
| 2022 | 11,786 | $6.17M | |
| 2023 | 12,930 | $5.95M | |
| 2024incomplete | 12,329 | $7.13M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 69% | 37,364 | 30,749 | $21.28M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.3% | 4,863 | 4,358 | $2.84M |
| 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 | 6.4% | 3,885 | 3,180 | $1.97M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.9% | 1,910 | 1,747 | $1.19M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.3% | 1,222 | 667 | $702K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 1,938 | 1,817 | $463K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 797 | 650 | $440K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.2% | 756 | 421 | $366K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 899 | 778 | $221K |
| 92015 | Determination of refractive state | <1% | 7,969 | 7,167 | $195K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 415 | 401 | $173K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,800 | 4,131 | $169K |
36 more codes
| 92557 | <1% | 217 | $129K | |
| 92567 | <1% | 1,088 | $92K | |
| 97161 | <1% | 138 | $66K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 141 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 93 | $42K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 40 | $31K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 48 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 56 | $28K |
| 99173 | <1% | 86 | $22K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 30 | $22K |
| 76801 | <1% | 44 | $22K | |
| 76830 | Ultrasound, transvaginal | <1% | 47 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 58 | $17K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 25 | $16K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 25 | $16K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 86 | $16K |
| 72100 | <1% | 29 | $10K | |
| 81002 | <1% | 48 | $10K | |
| 99441 | <1% | 14 | $9K | |
| 92552 | <1% | 24 | $9K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $8K |
| 97162 | <1% | 14 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 148 | $6K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 67 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $4K |
| 99188 | <1% | 62 | $3K | |
| 73630 | <1% | 18 | $3K | |
| 98940 | <1% | 538 | $1K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 47 | $176.82 |
| 90688 | 0% | 77 | $0.00 | |
| 97124 | 0% | 1,379 | $0.00 | |
| 92587 | 0% | 14 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 78 | $0.00 |
| 96150 | 0% | 14 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 412 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 42 | $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 |
|---|---|---|
| Southcentral Foundation | Anchorage, AK | $130.28M |
| Southcentral Foundation | Anchorage, AK | $20.33M |
| Southcentral Foundation | Anchorage, AK | $17.03M |
| Southcentral Foundation | Anchorage, AK | $15.03M |
| Southcentral Foundation | Anchorage, AK | $13.37M |
| Southcentral Foundation | Anchorage, AK | $13.34M |
| Southcentral Foundation | Anchorage, AK | $12.47M |
| Southcentral Foundation | Anchorage, AK | $11.16M |
| Southcentral Foundation | Anchorage, AK | $10.97M |
| Southcentral Foundation | Anchorage, AK | $10.22M |
| Southcentral Foundation | Anchorage, AK | $6.73M |
| Southcentral Foundation | Anchorage, AK | $6.47M |
| Southcentral Foundation | Anchorage, AK | $6.14M |
| Southcentral Foundation | Anchorage, AK | $5.83M |
| Southcentral Foundation | Anchorage, AK | $5.74M |
| Southcentral Foundation | Anchorage, AK | $5.59M |
| Southcentral Foundation | Anchorage, AK | $5.34M |
| Southcentral Foundation | Anchorage, AK | $5.10M |
| Southcentral Foundation | Anchorage, AK | $4.62M |
| Southcentral Foundation | Anchorage, AK | $3.81M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.