Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

USA HEALTH PHYSICIAN BILLING SERVICES LLC

NPI: 1134787567 · MOBILE, AL 36604 · Pediatrics Physician · NPI assigned 05/31/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BAILEY, GLEN controls 20+ related entities in our dataset. Read more

$10.99M
Total Medicaid Paid
178,875
Total Claims
140,450
Beneficiaries
71
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBAILEY, GLEN (CEO)
NPI Enumeration Date05/31/2019

Related Entities

Other providers sharing the same authorized official: BAILEY, GLEN

ProviderCityStateTotal Paid
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $28.17M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $12.65M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $6.29M
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $4.08M
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $3.96M
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $3.44M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $2.91M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $2.65M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $2.33M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $2.10M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $2.08M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $1.99M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $1.61M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $1.45M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $1.34M
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $1.11M
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $997K
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $880K
USA HEALTH PHYSICIAN BILLING SERVICES LLC MOBILE AL $800K
UNIVERSITY OF SOUTH ALABAMA MOBILE AL $663K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 17 $2K
2020 26,384 $1.45M
2021 31,335 $2.72M
2022 43,082 $2.53M
2023 47,507 $2.49M
2024 30,550 $1.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,329 24,498 $2.97M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,011 24,973 $2.18M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 14,281 5,372 $1.53M
97530 Therapeutic activities, direct patient contact, each 15 minutes 18,816 8,213 $1.43M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,273 12,780 $794K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,981 9,588 $573K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,159 4,197 $509K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,565 2,499 $150K
92526 1,285 724 $143K
97533 1,583 786 $63K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,976 2,853 $61K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 871 842 $49K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,590 1,562 $44K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,111 2,072 $40K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 168 159 $39K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,507 1,472 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 848 745 $38K
97116 954 433 $33K
90670 5,455 4,073 $31K
90686 3,779 3,389 $27K
90648 3,952 3,364 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 207 178 $23K
90680 3,300 2,791 $22K
92551 4,670 4,078 $16K
99232 Subsequent hospital care, per day, moderate complexity 170 66 $15K
99215 Prolong outpt/office vis 93 91 $15K
90723 2,004 1,670 $13K
90677 1,617 1,598 $12K
90671 1,992 1,605 $12K
87807 958 931 $10K
99173 4,088 3,100 $10K
90633 1,849 1,332 $10K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 224 137 $10K
99381 153 142 $9K
96160 1,227 1,085 $6K
90710 780 582 $4K
99233 Prolong inpt eval add15 m 32 12 $4K
99245 18 12 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 287 278 $4K
90698 797 519 $4K
99239 Hospital discharge day management, more than 30 minutes 24 24 $4K
99243 16 14 $2K
96161 335 313 $2K
92523 15 15 $2K
96127 515 501 $2K
99238 Hospital discharge day management, 30 minutes or less 14 14 $1K
90697 161 159 $1K
90651 170 155 $1K
97161 12 12 $1K
97166 14 12 $1K
90734 126 111 $848.00
99383 13 12 $840.00
0053A 13 13 $520.00
81025 133 123 $376.80
D1206 Topical application of fluoride varnish 32 15 $339.30
90696 52 41 $312.00
D0145 Oral evaluation for a patient under three years of age 26 13 $264.00
36416 99 98 $240.00
90716 66 35 $224.00
90707 63 34 $216.00
81002 71 68 $197.53
90700 24 24 $176.00
90744 27 18 $128.00
90620 14 14 $112.00
81003 27 27 $80.30
90715 12 12 $80.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $37.50
91305 14 14 $0.00
97535 Self-care/home management training, each 15 minutes 23 12 $0.00
99177 3,717 3,662 $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) 73 71 $0.00