Emory Medical Care Foundation INC
Emory Medical Care Foundation INC was paid $41.34M by Medicaid between Jan 2018 and Dec 2024, across 275 billing codes. Its largest line is 99283, emergency room visit (moderate) — 19% of everything it billed.
33Billing provider infoEMORY MEDICAL CARE FOUNDATION INC
ATLANTA, GA 30303
ATLANTA, GA 30303
33aNPI1063452381assigned 06/07/2006
33bProvider typeOptometrist
28Total paid$41.34M
24GClaims1,257,552
24DCodes billed275
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Georgia
Rank by total paid#1 of 71
Median peer was paid$10K
This provider vs. median3,996×
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 | 251,406 | $7.46M | |
| 2019 | 231,135 | $7.06M | |
| 2020 | 150,438 | $4.89M | |
| 2021 | 178,973 | $6.03M | |
| 2022 | 189,189 | $5.99M | |
| 2023 | 176,519 | $6.43M | |
| 2024incomplete | 79,892 | $3.48M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 135,431 | 131,598 | $7.71M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 54,283 | 46,133 | $4.75M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.4% | 33,429 | 32,031 | $3.06M |
| 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 | 6.6% | 66,572 | 60,837 | $2.74M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 61,697 | 54,237 | $2.14M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 88,135 | 19,927 | $1.43M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 3.4% | 16,739 | 3,405 | $1.42M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 15,626 | 14,473 | $1.16M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 44,155 | 9,257 | $936K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 18,042 | 13,880 | $857K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 11,520 | 10,936 | $846K |
| 99460 | 2.0% | 10,822 | 9,503 | $813K |
263 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 26,104 | $710K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.6% | 15,530 | $662K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.3% | 14,246 | $545K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 6,149 | $520K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 1.2% | 7,410 | $509K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.2% | 17,307 | $503K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 12,715 | $485K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.1% | 26,813 | $473K |
| 71045 | Radiologic examination, chest; single view | 1.1% | 123,211 | $438K |
| 99223 | Prolong inpt eval add15 m | <1% | 10,730 | $400K |
| 88307 | <1% | 5,928 | $397K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 90,033 | $389K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 9,643 | $314K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 3,536 | $304K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 50,042 | $299K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 10,195 | $299K |
| 99462 | <1% | 8,922 | $291K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 4,688 | $283K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 1,375 | $274K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,389 | $246K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,588 | $245K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 5,317 | $233K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 5,333 | $184K |
| 54150 | <1% | 2,133 | $177K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 4,465 | $175K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 9,931 | $173K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12,105 | $156K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 5,596 | $155K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 4,284 | $135K |
| 76820 | <1% | 3,712 | $132K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 1,728 | $118K |
| 99381 | <1% | 1,675 | $116K | |
| 88141 | <1% | 6,269 | $113K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,237 | $111K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 12,575 | $110K |
| 71250 | <1% | 4,373 | $109K | |
| 70496 | <1% | 2,204 | $90K | |
| 70498 | <1% | 2,202 | $88K | |
| 74018 | <1% | 23,252 | $85K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 2,724 | $84K |
| 95720 | <1% | 1,424 | $81K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 7,267 | $81K |
| D9243 | <1% | 558 | $77K | |
| 59410 | <1% | 123 | $76K | |
| 99464 | <1% | 1,263 | $74K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 490 | $67K |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 923 | $63K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,706 | $62K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 160 | $58K |
| 93970 | <1% | 2,958 | $51K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 953 | $49K |
| 01922 | <1% | 93 | $47K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,556 | $41K |
| 99219 | <1% | 339 | $40K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,817 | $39K |
| 93298 | <1% | 2,928 | $38K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 1,316 | $38K |
| 99221 | <1% | 6,499 | $38K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,227 | $37K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 1,374 | $37K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 2,760 | $36K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 3,477 | $35K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 787 | $35K |
| 77427 | <1% | 463 | $32K | |
| 88342 | <1% | 1,226 | $32K | |
| 95951 | <1% | 296 | $31K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,354 | $31K |
| 76813 | <1% | 534 | $28K | |
| 99243 | <1% | 288 | $28K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,175 | $27K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 229 | $26K |
| 76770 | <1% | 1,593 | $26K | |
| D9239 | <1% | 720 | $25K | |
| 74174 | <1% | 490 | $25K | |
| 84165 | <1% | 3,008 | $23K | |
| 93308 | <1% | 1,255 | $22K | |
| 93971 | <1% | 1,926 | $22K | |
| 11721 | <1% | 4,794 | $22K | |
| 92134 | <1% | 1,668 | $20K | |
| 73560 | <1% | 4,369 | $19K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,040 | $18K |
| 96112 | <1% | 151 | $18K | |
| 77065 | Tomosynthesis, mammo | <1% | 1,140 | $18K |
| 99468 | <1% | 26 | $17K | |
| 93886 | <1% | 905 | $17K | |
| 76801 | <1% | 484 | $17K | |
| 99220 | <1% | 113 | $17K | |
| 99255 | <1% | 103 | $15K | |
| 76642 | <1% | 929 | $15K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 764 | $15K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 75 | $15K |
| 96161 | <1% | 5,247 | $15K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 889 | $15K |
| 96156 | <1% | 395 | $14K | |
| 99477 | <1% | 211 | $14K | |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | <1% | 2,842 | $14K |
| 70355 | <1% | 2,044 | $13K | |
| 96167 | <1% | 205 | $13K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,042 | $13K |
| 71271 | <1% | 893 | $13K | |
| 20610 | <1% | 857 | $13K | |
| 99217 | <1% | 211 | $13K | |
| 93923 | <1% | 992 | $12K | |
| 99451 | <1% | 593 | $12K | |
| 77066 | Tomosynthesis, mammo | <1% | 558 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 100 | $11K |
| 93282 | <1% | 663 | $11K | |
| 92083 | <1% | 866 | $10K | |
| 99254 | <1% | 97 | $9K | |
| 93289 | <1% | 394 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 961 | $9K |
| 95816 | <1% | 389 | $8K | |
| 94726 | <1% | 667 | $8K | |
| D9310 | <1% | 121 | $8K | |
| 11056 | <1% | 1,398 | $8K | |
| 77014 | <1% | 548 | $7K | |
| 99253 | <1% | 138 | $7K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 1,124 | $7K |
| 93880 | <1% | 605 | $7K | |
| 31575 | <1% | 236 | $7K | |
| D9222 | <1% | 70 | $6K | |
| 93000 | <1% | 282 | $6K | |
| 99478 | <1% | 203 | $6K | |
| 94729 | <1% | 679 | $6K | |
| 92250 | <1% | 480 | $6K | |
| 77263 | <1% | 71 | $6K | |
| 77301 | <1% | 40 | $6K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 24 | $6K |
| 99252 | <1% | 133 | $6K | |
| 92133 | <1% | 421 | $5K | |
| 94060 | <1% | 622 | $5K | |
| 74019 | <1% | 529 | $5K | |
| 88108 | <1% | 365 | $5K | |
| 74183 | <1% | 157 | $5K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 314 | $4K |
| 93295 | <1% | 197 | $4K | |
| 11900 | <1% | 222 | $4K | |
| 72170 | <1% | 960 | $4K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 60 | $4K |
| 83020 | <1% | 676 | $4K | |
| D9610 | <1% | 73 | $3K | |
| 15002 | <1% | 15 | $3K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 147 | $3K |
| 96158 | <1% | 55 | $3K | |
| 73610 | <1% | 574 | $3K | |
| 93321 | <1% | 577 | $3K | |
| 73030 | <1% | 766 | $3K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 6,343 | $3K |
| 95819 | <1% | 89 | $3K | |
| 36410 | <1% | 513 | $3K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 54 | $2K |
| 76536 | <1% | 183 | $2K | |
| 77300 | <1% | 70 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 71 | $2K |
| 93261 | <1% | 102 | $2K | |
| 73700 | <1% | 55 | $2K | |
| 77080 | <1% | 1,145 | $2K | |
| 81003 | <1% | 651 | $2K | |
| 77338 | <1% | 40 | $2K | |
| 93042 | <1% | 460 | $2K | |
| 72100 | <1% | 315 | $2K | |
| 99412 | <1% | 102 | $2K | |
| 73590 | <1% | 368 | $2K | |
| 36558 | <1% | 14 | $2K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 17 | $2K |
| 01961 | <1% | 15 | $2K | |
| 20611 | <1% | 171 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 214 | $2K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 15 | $1K |
| 92557 | <1% | 1,620 | $1K | |
| 99201 | <1% | 141 | $1K | |
| 99441 | <1% | 101 | $1K | |
| 92201 | <1% | 56 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 92 | $1K |
| 93280 | <1% | 91 | $1K | |
| 93307 | <1% | 40 | $1K | |
| 84166 | <1% | 104 | $1K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 16 | $1K |
| 99385 | <1% | 25 | $1K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 29 | $1K |
| 99235 | <1% | 19 | $1K | |
| 73630 | <1% | 232 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 88189 | <1% | 20 | $1K | |
| 92567 | <1% | 1,702 | $1K | |
| 93018 | <1% | 116 | $1K | |
| 72141 | <1% | 29 | $1K | |
| 99442 | <1% | 134 | $1K | |
| 96127 | <1% | 293 | $984.83 | |
| 92015 | Determination of refractive state | <1% | 4,905 | $961.34 |
| 73552 | <1% | 188 | $955.08 | |
| 76825 | <1% | 12 | $917.99 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 50 | $897.24 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $894.52 |
| 77336 | <1% | 18 | $810.00 | |
| 88112 | <1% | 27 | $804.83 | |
| 94010 | <1% | 72 | $737.42 | |
| 88341 | <1% | 29 | $728.36 | |
| 72040 | <1% | 116 | $721.56 | |
| 93284 | <1% | 32 | $645.36 | |
| 97597 | <1% | 24 | $592.85 | |
| D0330 | Panoramic radiographic image | <1% | 14 | $583.71 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 16 | $513.21 |
| 77001 | <1% | 85 | $474.87 | |
| 99078 | <1% | 28 | $474.00 | |
| 0500F | <1% | 28 | $450.10 | |
| 96160 | <1% | 129 | $433.90 | |
| 73130 | <1% | 87 | $408.95 | |
| 76937 | <1% | 82 | $397.94 | |
| 74178 | <1% | 13 | $364.67 | |
| 77334 | <1% | 13 | $335.84 | |
| 95885 | <1% | 28 | $316.65 | |
| 73110 | <1% | 39 | $296.13 | |
| 73090 | <1% | 43 | $288.76 | |
| 77061 | <1% | 95 | $283.20 | |
| 93288 | <1% | 31 | $272.16 | |
| 73502 | <1% | 54 | $266.17 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 40 | $256.66 |
| 70320 | <1% | 96 | $256.31 | |
| 93227 | <1% | 25 | $242.73 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 43 | $238.99 |
| 76857 | <1% | 31 | $233.49 | |
| 99417 | Prolong home eval add 15m | <1% | 39 | $223.80 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $216.37 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 27 | $210.00 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 14 | $205.34 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $183.92 |
| 85027 | <1% | 42 | $149.19 | |
| 99140 | <1% | 26 | $145.48 | |
| 99497 | <1% | 52 | $144.60 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 29 | $131.03 |
| 72190 | <1% | 14 | $121.54 | |
| 80305 | <1% | 46 | $109.53 | |
| 73070 | <1% | 13 | $96.28 | |
| 88302 | <1% | 12 | $80.01 | |
| 82947 | <1% | 14 | $79.77 | |
| 11305 | <1% | 36 | $62.08 | |
| 99173 | <1% | 25 | $56.20 | |
| G0405 | Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination | <1% | 282 | $46.80 |
| 93291 | <1% | 43 | $22.96 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 591 | $17.32 |
| 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) | <1% | 422 | $13.40 |
| 0502F | <1% | 766 | $2.49 | |
| 76706 | <1% | 14 | $2.05 | |
| 92002 | <1% | 12 | $1.56 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 184 | $0.00 |
| 3077F | 0% | 12 | $0.00 | |
| 93299 | 0% | 196 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 49 | $0.00 |
| 99053 | 0% | 86 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 255 | $0.00 |
| 3078F | 0% | 70 | $0.00 | |
| 90937 | 0% | 182 | $0.00 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 0% | 13 | $0.00 |
| 0042T | 0% | 54 | $0.00 | |
| 98966 | 0% | 18 | $0.00 | |
| 99024 | 0% | 1,884 | $0.00 | |
| 3008F | 0% | 144 | $0.00 | |
| 3074F | 0% | 61 | $0.00 | |
| 99443 | 0% | 67 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 90686 | 0% | 57 | $0.00 | |
| G6017 | Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment | 0% | 15 | $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 officialTRIBBETT, ADAM (MED STAFF DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| The Emory Clinic INC | Atlanta, GA | $11.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.