Medicaid Provider Spending

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

HH PHYSICIAN CARE

NPI: 1144860123 · HUNTSVILLE, AL 35801 · Family Medicine Physician · NPI assigned 01/08/2020

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

Authorized official CARTER, CLINTON controls 20+ related entities in our dataset. Read more

$2.70M
Total Medicaid Paid
57,207
Total Claims
46,603
Beneficiaries
48
Codes Billed
2021-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARTER, CLINTON (CFO)
NPI Enumeration Date01/08/2020

Related Entities

Other providers sharing the same authorized official: CARTER, CLINTON

ProviderCityStateTotal Paid
HH PHYSICIANS NETWORK HUNTSVILLE AL $2.39M
HH PHYSICIAN CARE-FAYETTEVILLE MEDICAL ASSOCIATES FAYETTEVILLE TN $972K
DECATUR MORGAN HOSPITALIST GROUP DECATUR AL $582K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $512K
HUNTSVILLE HOSPITAL PEDIATRIC NEUROLOGY HUNTSVILLE AL $287K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $110K
HUNTSVILLE HOSPITAL PROFESSIONAL SERVICES HUNTSVILLE AL $85K
HH HEALTH SYSTEM - DEKALB, LLC FORT PAYNE AL $81K
HUNTSVILLE HOSPITAL LUNG CENTER HUNTSVILLE AL $71K
HH DIGESTIVE DISEASE CENTER HUNTSVILLE AL $58K
HUNTSVILLE HOSPITAL ENDOCRINE AND DIABETES CLINIC HUNTSVILLE AL $42K
DEKALB SPECIALTY CARE FORT PAYNE AL $10K
HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $8K
HH PHYSICIAN CARE-ELKTON TENNESSEE ARDMORE TN $8K
DECATUR MORGAN SPECIALISTS DECATUR AL $3K
HH FEVER AND FLU CLINIC HUNTSVILLE AL $2K
HH OBSERVATION CENTER HUNTSVILLE AL $969.00
DEKALB PRIMARY CARE FORT PAYNE AL $705.11
HELEN KELLER INPATIENT PHYSICIAN SERVICES SHEFFIELD AL $537.55
HUNTSVILLE HOSPITAL MADISON INTERNAL MEDICINE MADISON AL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17,551 $687K
2022 19,683 $950K
2023 14,366 $705K
2024 5,607 $357K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99238 Hospital discharge day management, 30 minutes or less 7,370 7,083 $453K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,993 4,475 $409K
99223 Prolong inpt eval add15 m 2,783 2,521 $336K
99232 Subsequent hospital care, per day, moderate complexity 9,903 3,701 $329K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,354 4,955 $315K
99460 2,436 2,351 $185K
99222 Initial hospital care, per day, moderate complexity 1,988 1,831 $167K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,250 2,151 $91K
99233 Prolong inpt eval add15 m 1,744 560 $72K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,382 1,324 $60K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,447 2,323 $59K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 611 580 $39K
99239 Hospital discharge day management, more than 30 minutes 443 422 $37K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 425 390 $27K
99462 677 579 $23K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 236 227 $17K
90460 Immunization administration through 18 years of age via any route, first or only component 315 307 $16K
90686 649 631 $12K
87634 232 225 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 119 117 $10K
99308 Subsequent nursing facility care, per day, straightforward 1,073 732 $5K
92551 864 842 $4K
99173 796 781 $4K
90670 204 198 $3K
99235 14 14 $2K
90647 100 94 $2K
90723 101 96 $2K
99217 24 24 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $1K
90680 82 80 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 46 $1K
90656 62 60 $958.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 67 66 $878.32
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 78 38 $836.00
99231 Subsequent hospital care, per day, straightforward or low complexity 26 14 $791.89
90671 30 25 $474.96
90633 26 26 $373.06
90472 Immunization administration, each additional vaccine (list separately) 12 12 $288.36
81003 89 84 $248.53
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $130.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 13 $99.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 58 47 $57.96
G8420 Bmi is documented within normal parameters and no follow-up plan is required 4,776 4,437 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 201 176 $0.00
3074F 119 113 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,805 1,664 $0.00
3078F 84 79 $0.00
1159F 72 63 $0.00