Clinic
Foundations Medical Services LLC
Foundations Medical Services LLC was paid $4.50M by Medicaid between Oct 2020 and Dec 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoFOUNDATIONS MEDICAL SERVICES LLC
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1831231265assigned 02/13/2007
33bProvider typeMethadone Clinic
28Total paid$4.50M
24GClaims53,946
24DCodes billed7
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Methadone Clinic providers in Pennsylvania
Rank by total paid#18 of 26
Median peer was paid$5.04M
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 2,627 | $173K | |
| 2021 | 16,683 | $1.24M | |
| 2022 | 15,785 | $1.23M | |
| 2023 | 9,950 | $1.00M | |
| 2024incomplete | 8,901 | $855K |
Box 24 · Service lines
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 | 84% | 37,400 | 9,213 | $3.77M |
| G9012 | Other specified case management service not elsewhere classified | 11% | 1,787 | 1,700 | $482K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 4.4% | 14,024 | 1,575 | $197K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 593 | 245 | $33K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 114 | 66 | $14K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 13 | 12 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 15 | 13 | $946.80 |
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 officialWOLF, JONATHAN (CEO)