Southcentral Foundation
Southcentral Foundation was paid $130.28M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
ANCHORAGE, AK 99508
Next to other Community Health 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 | 28,183 | $15.95M | |
| 2019 | 30,539 | $18.42M | |
| 2020 | 19,401 | $11.79M | |
| 2021 | 26,839 | $17.32M | |
| 2022 | 30,546 | $23.32M | |
| 2023 | 30,960 | $22.26M | |
| 2024incomplete | 25,346 | $21.21M |
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 | 76% | 144,968 | 134,243 | $99.58M |
| 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 | 16% | 30,246 | 28,464 | $20.47M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.1% | 3,988 | 2,671 | $2.71M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 1,966 | 1,963 | $1.32M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,937 | 1,862 | $1.29M |
| 99442 | <1% | 2,042 | 1,737 | $1.21M | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,345 | 1,342 | $907K |
| 99441 | <1% | 1,451 | 1,300 | $898K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 664 | 580 | $535K |
| 99443 | <1% | 689 | 544 | $405K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 549 | 549 | $371K |
| 99381 | <1% | 183 | 182 | $156K |
16 more codes
| 0002A | <1% | 166 | $131K | |
| 0072A | <1% | 70 | $58K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 82 | $54K |
| 0001A | <1% | 68 | $52K | |
| 97161 | <1% | 132 | $31K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 56 | $22K |
| 0071A | <1% | 24 | $21K | |
| 98926 | <1% | 36 | $18K | |
| 98925 | <1% | 32 | $18K | |
| 0004A | <1% | 14 | $11K | |
| 92567 | <1% | 108 | $9K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 15 | $8K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 16 | $3K |
| 91300 | 0% | 732 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 14 | $0.00 |
| 91307 | 0% | 221 | $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 | Wasilla, AK | $30.71M |
| 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.