Effingham Hospital, INC.

Effingham Hospital, INC. was paid $185K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoEFFINGHAM HOSPITAL, INC.
SPRINGFIELD, GA 31329

33aNPI1063849719assigned 09/26/2013

33bProvider typeOrthopaedic Surgery Physician

28Total paid$185K

24GClaims2,602

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Georgia

Rank by total paid#4 of 22

Median peer was paid$7K

This provider vs. median27×

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	835	$51K
2019	819	$51K
2020	260	$25K
2021	420	$36K
2022	149	$12K
2023	63	$5K
2024incomplete	56	$4K

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	57%	1,319	1,095	$106K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	1,092	942	$76K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	32	32	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	49	45	$300.30
99307		<1%	17	16	$287.76
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	28	12	$40.80
90656		0%	12	12	$0.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	32	26	$0.00
81003		0%	21	13	$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 officialBAKER-WITT, FRANCINE (INTERIM CEO)