Physician
Eastern Hospital Medicine PC
Eastern Hospital Medicine PC was paid $385K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 61% of everything it billed.
33Billing provider infoEASTERN HOSPITAL MEDICINE PC
BIRMINGHAM, AL 35235
BIRMINGHAM, AL 35235
33aNPI1104859123assigned 07/10/2006
33bProvider typeInternal Medicine Physician
28Total paid$385K
24GClaims55,115
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Alabama
Rank by total paid#35 of 225
Median peer was paid$17K
This provider vs. median22×
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 | 9,595 | $86K | |
| 2019 | 9,861 | $93K | |
| 2020 | 8,154 | $54K | |
| 2021 | 8,751 | $49K | |
| 2022 | 5,321 | $49K | |
| 2023 | 3,322 | $43K | |
| 2024incomplete | 10,111 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 61% | 21,247 | 3,932 | $234K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 21% | 20,755 | 8,999 | $80K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 2,968 | 627 | $45K |
| 99254 | 2.4% | 171 | 108 | $9K | |
| 99223 | Prolong inpt eval add15 m | 2.2% | 286 | 154 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 106 | 75 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 142 | 114 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 9,329 | 4,976 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 41 | 25 | $414.00 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 0% | 70 | 18 | $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 officialWIMBERLY, LEE (OWNER)