Lourdes Hospital LLC
Lourdes Hospital LLC was paid $22.38M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
RICHLAND, WA 99354
Next to other Psychiatric Residential Treatment Facility providers in Washington
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 | 98,911 | $105K | |
| 2019 | 59,939 | $3.53M | |
| 2020 | 55,120 | $3.51M | |
| 2021 | 39,725 | $3.05M | |
| 2022 | 28,128 | $1.64M | |
| 2023 | 29,020 | $4.93M | |
| 2024incomplete | 22,507 | $5.61M |
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 | 18% | 46,226 | 33,128 | $3.96M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 17% | 38,241 | 27,167 | $3.82M |
| S9485 | Crisis intervention mental health services, per diem | 14% | 7,558 | 1,712 | $3.22M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 13% | 40,802 | 10,965 | $2.84M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 9.0% | 9,013 | 1,408 | $2.01M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.9% | 15,114 | 11,979 | $1.11M |
| T1001 | Nursing assessment / evaluation | 4.9% | 12,714 | 11,657 | $1.09M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.5% | 7,317 | 7,067 | $1.00M |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.2% | 8,521 | 6,172 | $485K |
| H0033 | Oral medication administration, direct observation | 1.9% | 25,051 | 1,643 | $416K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 3,098 | 2,922 | $295K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 10,945 | 1,558 | $285K |
41 more codes
| 96165 | 1.3% | 2,913 | $282K | |
| H0038 | Self-help/peer services, per 15 minutes | 1.0% | 9,071 | $227K |
| H2036 | Alcohol and/or other drug treatment program, per diem | <1% | 10,288 | $204K |
| H0046 | Mental health services, not otherwise specified | <1% | 12,348 | $197K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 8,906 | $172K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 3,524 | $109K |
| 96164 | <1% | 2,945 | $103K | |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 21,242 | $98K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,117 | $67K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,200 | $66K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,217 | $59K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,695 | $54K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,055 | $43K |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | <1% | 143 | $40K |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | <1% | 3,483 | $29K |
| 96153 | <1% | 1,120 | $25K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 694 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 130 | $11K |
| H0001 | Alcohol and/or drug assessment | <1% | 114 | $8K |
| J0401 | Injection, aripiprazole (abilify maintena), 1 mg | <1% | 77 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 153 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 72 | $4K |
| 99348 | <1% | 170 | $3K | |
| 80306 | <1% | 407 | $3K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 196 | $2K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 15,741 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 58 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 43 | $851.08 |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 69 | $773.04 |
| 36415 | Collection of venous blood by venipuncture | <1% | 58 | $506.05 |
| 99075 | <1% | 86 | $225.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 48 | $217.58 |
| 99442 | <1% | 15 | $109.74 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 42 | $86.81 |
| H2023 | Supported employment, per 15 minutes | <1% | 187 | $70.80 |
| 80053 | Comprehensive metabolic panel | <1% | 48 | $68.39 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 170 | $0.00 |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 0% | 4,759 | $0.00 |
| T2038 | Community transition, waiver; per service | 0% | 20 | $0.00 |
| J2794 | Injection, risperidone (risperdal consta), 0.5 mg | 0% | 26 | $0.00 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 100 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.