Southeast Community Health Systems
Southeast Community Health Systems was paid $994K by Medicaid between Jan 2018 and Aug 2024, across 12 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.
BATON ROUGE, LA 70810
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 | 3,963 | $256K | |
| 2019 | 2,046 | $150K | |
| 2020 | 1,527 | $104K | |
| 2021 | 1,244 | $87K | |
| 2022 | 1,958 | $115K | |
| 2023 | 3,627 | $182K | |
| 2024incomplete | 1,284 | $101K |
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% | 8,508 | 5,689 | $994K |
| 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% | 3,877 | 2,680 | $83.06 |
| 36415 | Collection of venous blood by venipuncture | <1% | 880 | 577 | $2.15 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 344 | 292 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 791 | 536 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 200 | 188 | $0.00 |
| 81025 | 0% | 801 | 628 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 79 | 76 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 13 | 13 | $0.00 |
| 99385 | 0% | 54 | 52 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 29 | 26 | $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% | 73 | 63 | $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 | Zachary, LA | $5.43M |
| 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 | 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.