Clinic
Mcfoison, LLC
Mcfoison, LLC was paid $4.87M by Medicaid between Oct 2020 and Aug 2024, across 1 billing code. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.
33Billing provider infoMCFOISON, LLC
HOUSTON, TX 77036
HOUSTON, TX 77036
33aNPI1801231360assigned 05/09/2013
33bProvider typeAdult Day Care Clinic/Center
28Total paid$4.87M
24GClaims7,983
24DCodes billed1
24AFirst – last monthOct 2020 – Aug 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in Texas
Rank by total paid#8 of 301
Median peer was paid$1.11M
This provider vs. median4.4×
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.
Single-Code Concentration100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 438 | $276K | |
| 2021 | 2,023 | $1.23M | |
| 2022 | 2,069 | $1.33M | |
| 2023 | 2,030 | $1.18M | |
| 2024incomplete | 1,423 | $844K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5101 | Day care services, adult; per half day | 100% | 7,983 | 7,837 | $4.87M |
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 officialKO, HEIDI (MANAGER)