Southeast Community Health Systems
Southeast Community Health Systems was paid $5.43M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
ZACHARY, LA 70791
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 | 15,918 | $974K | |
| 2019 | 14,749 | $796K | |
| 2020 | 9,495 | $545K | |
| 2021 | 9,960 | $603K | |
| 2022 | 14,145 | $828K | |
| 2023 | 15,440 | $894K | |
| 2024incomplete | 10,248 | $787K |
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 | 68% | 29,598 | 20,566 | $3.69M |
| H2020 | Therapeutic behavioral services, per diem | 22% | 12,311 | 6,140 | $1.21M |
| D0999 | Unspecified diagnostic procedure, by report | 9.5% | 4,778 | 3,251 | $517K |
| 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% | 21,839 | 15,535 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 580 | 459 | $615.81 |
| 0001A | <1% | 80 | 35 | $594.96 | |
| 0003A | <1% | 86 | 42 | $569.66 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 7,454 | 3,383 | $552.22 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 379 | 304 | $541.53 |
| 99050 | <1% | 62 | 39 | $409.68 | |
| D1110 | Prophylaxis - adult | <1% | 274 | 216 | $336.07 |
| 0031A | <1% | 34 | 17 | $185.40 |
37 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,235 | $124.36 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 210 | $72.36 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,578 | $69.52 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 75 | $44.10 |
| D0120 | Dental checkup, returning patient | <1% | 22 | $27.24 |
| 81002 | <1% | 1,235 | $20.30 | |
| 90658 | <1% | 15 | $15.37 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 364 | $10.75 |
| 36416 | <1% | 525 | $4.04 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,017 | $1.72 |
| G0467 | Community health center visit, returning patient | 0% | 173 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 2,414 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 205 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 194 | $0.00 |
| 90839 | 0% | 36 | $0.00 | |
| 99385 | 0% | 13 | $0.00 | |
| 86710 | 0% | 31 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 75 | $0.00 |
| 92551 | 0% | 17 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 19 | $0.00 |
| 91303 | 0% | 34 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 16 | $0.00 |
| 86703 | 0% | 116 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 836 | $0.00 |
| 81025 | 0% | 295 | $0.00 | |
| 82948 | 0% | 568 | $0.00 | |
| 96160 | 0% | 195 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 521 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| 99173 | 0% | 17 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 12 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 15 | $0.00 |
| 90863 | 0% | 180 | $0.00 | |
| 91300 | 0% | 161 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 90756 | 0% | 19 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 18 | $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 | Independence, LA | $3.68M |
| Southeast Community Health Systems | Kentwood, LA | $3.54M |
| Southeast Community Health Systems | Greensburg, LA | $2.27M |
| Southeast Community Health Systems | Hammond, LA | $1.97M |
| 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.