USA Health Physician Billing Services LLC
USA Health Physician Billing Services LLC was paid $10.99M by Medicaid between Nov 2019 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
MOBILE, AL 36604
Next to other Pediatrics 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 | |
|---|---|---|---|
| 2019 | 17 | $2K | |
| 2020 | 26,384 | $1.45M | |
| 2021 | 31,335 | $2.72M | |
| 2022 | 43,082 | $2.53M | |
| 2023 | 47,507 | $2.49M | |
| 2024incomplete | 30,550 | $1.79M |
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 | 27% | 26,329 | 24,498 | $2.97M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 27,011 | 24,973 | $2.18M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 14% | 14,281 | 5,372 | $1.53M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 13% | 18,816 | 8,213 | $1.43M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 13,273 | 12,780 | $794K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 9,981 | 9,588 | $573K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.6% | 9,159 | 4,197 | $509K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 2,565 | 2,499 | $150K |
| 92526 | 1.3% | 1,285 | 724 | $143K | |
| 97533 | <1% | 1,583 | 786 | $63K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,976 | 2,853 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 871 | 842 | $49K |
59 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,590 | $44K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,111 | $40K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 168 | $39K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,507 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 848 | $38K |
| 97116 | <1% | 954 | $33K | |
| 90670 | <1% | 5,455 | $31K | |
| 90686 | <1% | 3,779 | $27K | |
| 90648 | <1% | 3,952 | $26K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 207 | $23K |
| 90680 | <1% | 3,300 | $22K | |
| 92551 | <1% | 4,670 | $16K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 170 | $15K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 93 | $15K |
| 90723 | <1% | 2,004 | $13K | |
| 90677 | <1% | 1,617 | $12K | |
| 90671 | <1% | 1,992 | $12K | |
| 87807 | <1% | 958 | $10K | |
| 99173 | <1% | 4,088 | $10K | |
| 90633 | <1% | 1,849 | $10K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 224 | $10K |
| 99381 | <1% | 153 | $9K | |
| 96160 | <1% | 1,227 | $6K | |
| 90710 | <1% | 780 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 32 | $4K |
| 99245 | <1% | 18 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 287 | $4K |
| 90698 | <1% | 797 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 24 | $4K |
| 99243 | <1% | 16 | $2K | |
| 96161 | <1% | 335 | $2K | |
| 92523 | <1% | 15 | $2K | |
| 96127 | <1% | 515 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $1K |
| 90697 | <1% | 161 | $1K | |
| 90651 | <1% | 170 | $1K | |
| 97161 | <1% | 12 | $1K | |
| 97166 | <1% | 14 | $1K | |
| 90734 | <1% | 126 | $848.00 | |
| 99383 | <1% | 13 | $840.00 | |
| 0053A | <1% | 13 | $520.00 | |
| 81025 | <1% | 133 | $376.80 | |
| D1206 | Topical application of fluoride varnish | <1% | 32 | $339.30 |
| 90696 | <1% | 52 | $312.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $264.00 |
| 36416 | <1% | 99 | $240.00 | |
| 90716 | <1% | 66 | $224.00 | |
| 90707 | <1% | 63 | $216.00 | |
| 81002 | <1% | 71 | $197.53 | |
| 90700 | <1% | 24 | $176.00 | |
| 90744 | <1% | 27 | $128.00 | |
| 90620 | <1% | 14 | $112.00 | |
| 81003 | <1% | 27 | $80.30 | |
| 90715 | <1% | 12 | $80.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $37.50 |
| 91305 | 0% | 14 | $0.00 | |
| 97535 | Self-care/home management training, each 15 minutes | 0% | 23 | $0.00 |
| 99177 | 0% | 3,717 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 73 | $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.