Clinic
Highway 53 Medical Center, INC
Highway 53 Medical Center, INC was paid $89K by Medicaid between Jan 2018 and Apr 2019, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoHIGHWAY 53 MEDICAL CENTER, INC
TONEY, AL 35773
TONEY, AL 35773
33aNPI1013038488assigned 04/03/2007
33bProvider typeCommunity Health Clinic/Center
28Total paid$89K
24GClaims2,567
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Community Health Clinic/Center providers in Alabama
Rank by total paid#4 of 11
Median peer was paid$0.00
This provider vs. median0.0×
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 | 2,028 | $67K | |
| 2019 | 539 | $21K |
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 | 77% | 1,987 | 1,727 | $68K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 18% | 410 | 385 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 96 | 83 | $3K |
| 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 | 2.6% | 29 | 27 | $2K |
| 96160 | 0% | 14 | 14 | $0.00 | |
| 2010F | 0% | 15 | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | 16 | $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 officialLLOYD-TURNEY, CELIA (DIRECTOR)