Troy Regional Physicians INC
Troy Regional Physicians INC was paid $535K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoTROY REGIONAL PHYSICIANS INC
TROY, AL 36081
TROY, AL 36081
33aNPI1003124421assigned 09/20/2010
33bProvider typeSpecialist
28Total paid$535K
24GClaims16,711
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#32 of 162
Median peer was paid$49K
This provider vs. median11×
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 | 1,466 | $49K | |
| 2019 | 1,565 | $46K | |
| 2020 | 1,703 | $44K | |
| 2021 | 2,593 | $68K | |
| 2022 | 3,158 | $85K | |
| 2023 | 3,506 | $142K | |
| 2024incomplete | 2,720 | $102K |
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 | 34% | 5,656 | 4,912 | $180K |
| 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 | 26% | 3,434 | 2,867 | $141K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 1,516 | 1,423 | $102K |
| 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 | 7.1% | 376 | 336 | $38K |
| 99243 | 5.8% | 376 | 372 | $31K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.7% | 424 | 183 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 457 | 358 | $8K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 77 | 39 | $7K |
| 20610 | <1% | 251 | 176 | $5K | |
| 92567 | <1% | 183 | 179 | $2K | |
| 92579 | <1% | 76 | 68 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,512 | 1,082 | $936.40 |
16 more codes
| 90750 | <1% | 19 | $917.05 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 140 | $718.10 |
| 73560 | <1% | 68 | $644.00 | |
| 81025 | <1% | 194 | $531.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $417.95 |
| 92587 | <1% | 12 | $348.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 595 | $292.43 |
| 73565 | <1% | 30 | $276.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 36 | $258.70 |
| 90686 | <1% | 19 | $192.60 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 320 | $165.60 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 68 | $125.00 |
| 82962 | <1% | 66 | $3.00 | |
| 3078F | 0% | 30 | $0.00 | |
| 99024 | 0% | 714 | $0.00 | |
| 2000F | 0% | 26 | $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.
From NPPES
Who's on the registration
Authorized officialSMITH, JANET (CFO)
| Provider | Location | Paid |
|---|---|---|
| Geneva County Healthcare Authority, INC. | Geneva, AL | $752K |
| Lake Ridge Ambulatory Surgery Center, LLC | Woodbridge, VA | $105K |
| Troy Regional Physicians, INC | Troy, AL | $51K |
| Troy Regional Physicians INC | Troy, AL | $50K |
| Geneva County Healthcare Authority, INC. | Geneva, AL | $47K |
| Geneva County Healthcare Authority, INC. | Samson, AL | $44K |
| Geneva County Healthcare Authority, INC. | Samson, AL | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.