Behavioral
Texas Health Foundation, INC
Texas Health Foundation, INC was paid $646K by Medicaid between Mar 2022 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoTEXAS HEALTH FOUNDATION, INC
BEAUMONT, TX 77701
BEAUMONT, TX 77701
33aNPI1992473391assigned 08/31/2021
33bProvider typeCounselor
28Total paid$646K
24GClaims14,171
24DCodes billed20
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Counselor providers in Texas
Rank by total paid#23 of 189
Median peer was paid$64K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2022 | 184 | $3K | |
| 2023 | 6,191 | $273K | |
| 2024incomplete | 7,796 | $369K |
Box 24 · Service lines
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 | 23% | 3,371 | 2,080 | $148K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 4,348 | 3,149 | $133K |
| 76818 | 12% | 1,001 | 441 | $78K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 11% | 129 | 116 | $69K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 6.6% | 463 | 406 | $43K |
| 59514 | 5.8% | 72 | 56 | $37K | |
| 76830 | Ultrasound, transvaginal | 5.1% | 437 | 373 | $33K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.0% | 422 | 381 | $26K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.9% | 353 | 319 | $19K |
| 99000 | 2.3% | 1,743 | 1,405 | $15K | |
| 59430 | 2.2% | 176 | 154 | $14K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.5% | 136 | 130 | $10K |
8 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 159 | $7K |
| 81025 | <1% | 1,059 | $6K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 83 | $3K |
| 59025 | Fetal non-stress test | <1% | 51 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 31 | $2K |
| 54150 | <1% | 13 | $1K | |
| 99442 | <1% | 18 | $258.89 | |
| 81003 | <1% | 106 | $158.93 |
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 officialWILSON, KIMBERLY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Enrich Personal Care Services, LLC. | Monroe, LA | $26.75M |
| Southern Care and Comfort in Home Agency, LLC | Poplar Bluff, MO | $15.39M |
| DR. Gino Mercadante, P.C. | Ludlow, MA | $871K |
| Karefirst Missouri PC | Des Peres, MO | $625K |
| Medical United Foundation, INC | Beaumont, TX | $235K |
| Karefirst Indiana PC | South Bend, IN | $168K |
| Karefirst Iowa PC | Norwalk, IA | $135K |
| Southwest Virginia Home Health Care, INC | Galax, VA | $86K |
| Karefirst Florida PA | North Bay Village, FL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.