Clinic
Madison High SBHC
Madison High SBHC was paid $119K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoMADISON HIGH SBHC
TALLULAH, LA 71282
TALLULAH, LA 71282
33aNPI1619098498assigned 04/02/2007
33bProvider typeStudent Health Clinic/Center
28Total paid$119K
24GClaims6,787
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Student Health Clinic/Center providers in Louisiana
Rank by total paid#34 of 56
Median peer was paid$163K
This provider vs. median0.7×
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 | 973 | $18K | |
| 2019 | 1,132 | $21K | |
| 2020 | 470 | $9K | |
| 2021 | 821 | $11K | |
| 2022 | 1,242 | $21K | |
| 2023 | 1,382 | $23K | |
| 2024incomplete | 767 | $16K |
Box 24 · Service lines
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 | 38% | 1,358 | 1,211 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 36% | 2,010 | 1,620 | $42K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.2% | 280 | 248 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.2% | 542 | 515 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 85 | 84 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 213 | 192 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.2% | 341 | 281 | $1K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.2% | 341 | 281 | $1K |
| 92551 | <1% | 146 | 135 | $990.65 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 27 | 26 | $401.72 |
| 81002 | <1% | 180 | 156 | $338.05 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | 12 | $297.96 |
8 more codes
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 officialREDD, SYLVIA (APNP)