Health Care Authority for Baptist Health, An Affiliate of Uabhs
Health Care Authority for Baptist Health, An Affiliate of Uabhs was paid $7.48M by Medicaid between Jan 2018 and Dec 2024, across 151 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
MONTGOMERY, AL 36117
Next to other Family Medicine Physician providers in Alabama
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 24,865 | $658K | |
| 2019 | 33,894 | $822K | |
| 2020 | 26,519 | $777K | |
| 2021 | 39,804 | $1.31M | |
| 2022 | 29,420 | $1.28M | |
| 2023 | 28,352 | $1.39M | |
| 2024incomplete | 24,217 | $1.24M |
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 | 42% | 50,349 | 42,696 | $3.17M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 32,362 | 27,380 | $1.43M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 33,436 | 10,567 | $1.12M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 4,598 | 1,513 | $248K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 2,909 | 2,731 | $194K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 2,843 | 2,582 | $147K |
| 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 | 1.7% | 1,211 | 1,058 | $127K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 1,053 | 962 | $86K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 636 | 595 | $85K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,148 | 2,253 | $48K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 386 | 337 | $46K |
| 87428 | <1% | 1,043 | 871 | $39K |
139 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,399 | $39K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 52 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,496 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,225 | $31K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,945 | $31K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 2,542 | $27K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 537 | $26K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,358 | $26K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 216 | $26K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,038 | $25K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 2,265 | $25K |
| 76820 | <1% | 1,392 | $24K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 334 | $22K |
| 80053 | Comprehensive metabolic panel | <1% | 2,892 | $22K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 913 | $22K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 1,316 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,527 | $20K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 64 | $19K |
| 76506 | <1% | 1,242 | $19K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 268 | $18K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 410 | $17K |
| 80061 | Lipid panel | <1% | 1,833 | $17K |
| 99254 | <1% | 172 | $14K | |
| 90674 | <1% | 602 | $12K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 477 | $11K |
| 80305 | <1% | 1,778 | $11K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 496 | $10K |
| 72100 | <1% | 493 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 159 | $9K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 568 | $7K |
| 72170 | <1% | 443 | $6K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 86 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 326 | $6K |
| 90688 | <1% | 459 | $5K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 557 | $5K |
| 54150 | <1% | 53 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,037 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 65 | $4K |
| 90686 | <1% | 226 | $4K | |
| 81025 | <1% | 1,605 | $3K | |
| 86780 | <1% | 1,620 | $3K | |
| 76821 | <1% | 133 | $3K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 79 | $3K |
| 59514 | <1% | 20 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 79 | $3K |
| 99253 | <1% | 45 | $3K | |
| 95819 | <1% | 127 | $3K | |
| 86701 | <1% | 516 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 47 | $2K |
| 64615 | <1% | 50 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 43 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,889 | $2K |
| 0011A | <1% | 63 | $2K | |
| 73562 | <1% | 58 | $2K | |
| 0012A | <1% | 50 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 227 | $2K |
| 82962 | <1% | 986 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 40 | $2K |
| 90785 | <1% | 614 | $2K | |
| 99243 | <1% | 15 | $2K | |
| 87070 | <1% | 435 | $2K | |
| 72040 | <1% | 114 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 131 | $1K |
| 84439 | <1% | 224 | $1K | |
| 90670 | <1% | 82 | $1K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 229 | $1K |
| 99173 | <1% | 263 | $1K | |
| 85027 | <1% | 549 | $990.20 | |
| 81003 | <1% | 599 | $828.30 | |
| 90734 | <1% | 41 | $771.81 | |
| 90661 | <1% | 23 | $737.00 | |
| 95816 | <1% | 28 | $688.00 | |
| 83020 | <1% | 132 | $623.41 | |
| 86160 | <1% | 37 | $540.00 | |
| 51798 | <1% | 118 | $496.11 | |
| 90658 | <1% | 32 | $481.48 | |
| 90651 | <1% | 24 | $455.17 | |
| 87077 | <1% | 88 | $328.00 | |
| 92551 | <1% | 80 | $325.00 | |
| 84702 | <1% | 91 | $312.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 40 | $308.00 |
| 87081 | <1% | 282 | $296.00 | |
| 82043 | <1% | 90 | $288.01 | |
| 86762 | <1% | 75 | $288.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | $284.92 |
| 96127 | <1% | 152 | $283.11 | |
| 81002 | <1% | 197 | $248.61 | |
| 99221 | <1% | 13 | $245.00 | |
| 82677 | <1% | 24 | $243.00 | |
| 86696 | <1% | 25 | $228.00 | |
| 87340 | <1% | 91 | $221.00 | |
| 90648 | <1% | 12 | $197.90 | |
| 87205 | <1% | 141 | $190.00 | |
| 92557 | <1% | 13 | $184.30 | |
| 82105 | <1% | 24 | $180.00 | |
| 82607 | <1% | 14 | $153.00 | |
| 87807 | <1% | 15 | $148.90 | |
| 90756 | <1% | 78 | $136.74 | |
| 86336 | <1% | 22 | $136.00 | |
| 86850 | <1% | 72 | $136.00 | |
| 86225 | <1% | 19 | $135.00 | |
| 85652 | <1% | 79 | $123.00 | |
| 86140 | <1% | 32 | $90.00 | |
| 87210 | <1% | 52 | $86.74 | |
| 92567 | <1% | 14 | $75.85 | |
| 87150 | <1% | 182 | $69.00 | |
| 83540 | <1% | 52 | $63.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 17 | $50.00 |
| 86900 | <1% | 72 | $49.98 | |
| 86901 | <1% | 72 | $49.47 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 76 | $28.18 |
| 36415 | Collection of venous blood by venipuncture | <1% | 872 | $26.00 |
| 85014 | <1% | 17 | $18.00 | |
| 85018 | <1% | 17 | $18.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 15 | $10.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,288 | $0.00 |
| 99497 | 0% | 15 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 412 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 56 | $0.00 |
| 85049 | 0% | 16 | $0.00 | |
| 1160F | 0% | 56 | $0.00 | |
| 90461 | 0% | 22 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 332 | $0.00 |
| 90662 | 0% | 54 | $0.00 | |
| 3078F | 0% | 121 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 17 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 25 | $0.00 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 131 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 26 | $0.00 |
| 1036F | 0% | 357 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,305 | $0.00 |
| 99024 | 0% | 6,981 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 429 | $0.00 |
| 3074F | 0% | 272 | $0.00 | |
| 86695 | 0% | 26 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 111 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| G0475 | Hiv antigen/antibody, combination assay, screening | 0% | 136 | $0.00 |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 0% | 28 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Health Care Authority for Baptist Health, An Affiliate of Uabhs | Montgomery, AL | $16.69M |
| Health Care Authority for Baptist Health An Affiliate of Uabhs | Montgomery, AL | $11.99M |
| The Health Care Authority for Baptist Health An Affiliate of Uabhs | Prattville, AL | $5.16M |
| The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Montgomery, AL | $1.00M |
| The Health Care Authority for Baptist Health | Montgomery, AL | $143K |
| Montgomery Surgical Center, LTD | Montgomery, AL | $79K |
| Health Care Authority for Baptist Health, An Affiliate of Uabhs | Montgomery, AL | $8K |
| Health Care Authority for Baptist Health, An Affiliate of Uabhs | Prattville, AL | $261.54 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.