Clinic
Springhill Medical Services, INC.
Springhill Medical Services, INC. was paid $734K by Medicaid between Apr 2018 and Mar 2021, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSPRINGHILL MEDICAL SERVICES, INC.
HAYNESVILLE, LA 71038
HAYNESVILLE, LA 71038
33aNPI1518464775assigned 04/12/2018
33bProvider typeRural Health Clinic/Center
28Total paid$734K
24GClaims19,141
24DCodes billed17
24AFirst – last monthApr 2018 – Mar 2021
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#128 of 160
Median peer was paid$2.26M
This provider vs. median0.3×
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 | 4,959 | $131K | |
| 2019 | 7,449 | $279K | |
| 2020 | 5,630 | $261K | |
| 2021 | 1,103 | $62K |
Box 24 · Service lines
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 | 100% | 7,165 | 4,626 | $734K |
| 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% | 4,658 | 3,341 | $33.22 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 61 | 51 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 46 | 13 | $0.00 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 791 | 586 | $0.00 |
| 81025 | 0% | 14 | 13 | $0.00 | |
| 81003 | 0% | 49 | 38 | $0.00 | |
| 90461 | 0% | 12 | 12 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 18 | 17 | $0.00 |
| 99173 | 0% | 102 | 90 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 27 | 25 | $0.00 |
| 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 | 0% | 3,547 | 2,494 | $0.00 |
5 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 364 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,827 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 272 | $0.00 |
| 92551 | 0% | 89 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 99 | $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 officialSEDMINIK, VINCENT (CEO)
Parent organizationSPRINGHILL MEDICAL SERVICES, INC.