Clinic
Cleburne Medical Clinic, INC.
Cleburne Medical Clinic, INC. was paid $1.66M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCLEBURNE MEDICAL CLINIC, INC.
HEFLIN, AL 36264
HEFLIN, AL 36264
33aNPI1104891241assigned 02/22/2006
33bProvider typeClinic/Center
28Total paid$1.66M
24GClaims53,150
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Alabama
Rank by total paid#12 of 57
Median peer was paid$94K
This provider vs. median18×
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 | 9,942 | $245K | |
| 2019 | 8,966 | $251K | |
| 2020 | 7,092 | $242K | |
| 2021 | 7,287 | $297K | |
| 2022 | 7,791 | $280K | |
| 2023 | 7,917 | $230K | |
| 2024incomplete | 4,155 | $120K |
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 | 29% | 9,625 | 7,900 | $488K |
| 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 | 20% | 7,457 | 6,339 | $337K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 6,630 | 1,936 | $131K |
| 99223 | Prolong inpt eval add15 m | 5.5% | 2,220 | 1,948 | $92K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 1,160 | 1,081 | $74K |
| 99255 | 4.2% | 656 | 545 | $70K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 857 | 793 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 776 | 723 | $49K |
| 99460 | 2.5% | 528 | 486 | $41K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4% | 755 | 707 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 602 | 569 | $39K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.3% | 4,739 | 1,260 | $38K |
42 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 2.0% | 781 | $33K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.5% | 724 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 2,551 | $24K |
| 99462 | 1.1% | 533 | $18K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,050 | $13K |
| 90648 | <1% | 568 | $11K | |
| 90670 | <1% | 575 | $11K | |
| 90686 | <1% | 459 | $9K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 181 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 415 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 774 | $7K |
| 36416 | <1% | 2,902 | $7K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,512 | $6K |
| 90723 | <1% | 264 | $5K | |
| 99173 | <1% | 960 | $4K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 621 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | $3K |
| 92551 | <1% | 376 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 84 | $1K |
| 99254 | <1% | 18 | $1K | |
| 90707 | <1% | 80 | $1K | |
| 90716 | <1% | 80 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 233 | $1K |
| 80305 | <1% | 569 | $1K | |
| 90734 | <1% | 55 | $1K | |
| 90633 | <1% | 41 | $771.81 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $764.75 |
| 90651 | <1% | 51 | $712.44 | |
| 90685 | <1% | 31 | $593.70 | |
| 90681 | <1% | 24 | $474.96 | |
| 90620 | <1% | 25 | $474.96 | |
| 90682 | <1% | 15 | $463.10 | |
| 90656 | <1% | 23 | $455.17 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 131 | $286.02 |
| 90671 | <1% | 15 | $237.48 | |
| 83655 | <1% | 14 | $210.00 | |
| 81003 | <1% | 17 | $45.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 136 | $19.32 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 105 | $0.00 |
| 99310 | Prolong nursin fac eval 15m | 0% | 13 | $0.00 |
| 84030 | 0% | 14 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 47 | $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 officialBIDIKOV, IGOR (PRESIDENT AND OWNER)