Clinic
Crossett Health Foundation
Crossett Health Foundation was paid $431K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoCROSSETT HEALTH FOUNDATION
HAMBURG, AR 71646
HAMBURG, AR 71646
33aNPI1093084808assigned 12/22/2011
33bProvider typeRural Health Clinic/Center
28Total paid$431K
24GClaims7,334
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Arkansas
Rank by total paid#12 of 78
Median peer was paid$33K
This provider vs. median13×
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 | 657 | $24K | |
| 2019 | 979 | $71K | |
| 2020 | 1,234 | $85K | |
| 2021 | 2,222 | $58K | |
| 2022 | 1,040 | $67K | |
| 2023 | 775 | $74K | |
| 2024incomplete | 427 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 3,860 | 2,656 | $224K |
| 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 | 45% | 2,472 | 2,113 | $192K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.7% | 184 | 155 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 35 | 25 | $3K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 148 | 142 | $2K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 554 | 345 | $968.28 |
| 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 | <1% | 36 | 35 | $905.46 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 31 | 16 | $70.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 14 | 12 | $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 officialGILMORE, PHILLIP (CEO)
Parent organizationCROSSETT HEALTH FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Crossett Health Foundation | Crossett, AR | $3.38M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.