Vaughan Physician Practices LLC
Vaughan Physician Practices LLC was paid $783K by Medicaid between Sep 2018 and Dec 2024, across 22 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 65% of everything it billed.
SELMA, AL 36701
Next to other Obstetrics & Gynecology 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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,180 | $6K | |
| 2019 | 7,986 | $101K | |
| 2020 | 5,284 | $135K | |
| 2021 | 6,153 | $115K | |
| 2022 | 4,128 | $299K | |
| 2023 | 1,954 | $79K | |
| 2024incomplete | 947 | $47K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 65% | 545 | 320 | $507K |
| 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 | 14% | 3,293 | 2,169 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 2,533 | 1,697 | $55K |
| 54150 | 4.6% | 315 | 271 | $36K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.4% | 4,135 | 3,498 | $34K |
| 81002 | 1.9% | 13,309 | 6,913 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 743 | 503 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 60 | 50 | $3K |
| 59025 | Fetal non-stress test | <1% | 444 | 283 | $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 | <1% | 38 | 26 | $3K |
| 87210 | <1% | 862 | 581 | $2K | |
| 81025 | <1% | 1,024 | 788 | $2K |
10 more codes
| H1000 | Prenatal care, at-risk assessment | <1% | 61 | $960.00 |
| 59426 | <1% | 237 | $491.00 | |
| 59425 | <1% | 60 | $281.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 171 | $156.00 |
| 99000 | <1% | 234 | $45.50 | |
| 85018 | <1% | 17 | $33.00 | |
| 81003 | <1% | 358 | $15.00 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 27 | $0.00 |
| 59430 | 0% | 108 | $0.00 | |
| 88142 | 0% | 58 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.