Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Outside the Box Healthcare LLC

Outside the Box Healthcare LLC was paid $68K by Medicaid between Feb 2019 and Aug 2021, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoOUTSIDE THE BOX HEALTHCARE LLC
ALBERTVILLE, AL 35950
33aNPI1043782675assigned 12/20/2018
33bProvider typeNurse Practitioner
28Total paid$68K
24GClaims2,793
24DCodes billed16
24AFirst – last monthFeb 2019 – Aug 2021
Compared with peers

Next to other Nurse Practitioner providers in Alabama

Rank by total paid#8 of 47
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2019430$7K
20201,159$28K
20211,204$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 1,059 878 $29K
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 25% 460 361 $17K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 186 162 $9K
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 6.9% 96 66 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 106 100 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.8% 81 54 $2K
99344 1.6% 25 18 $1K
99307 1.2% 556 263 $811.78
0011A <1% 23 22 $590.40
99348 <1% 16 14 $326.40
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 53 41 $283.54
90688 <1% 15 15 $267.60
4 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 34 $187.00
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 20 $80.62
99308 Subsequent nursing facility care, per day, straightforward <1% 47 $57.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 16 $55.00

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 officialMARTIN, MILLIE (PRACTICE MANAGER)