Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gulf Health Hospitals, INC

Gulf Health Hospitals, INC was paid $45K by Medicaid between Jan 2018 and Jun 2018, across 19 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 21% of everything it billed.

33Billing provider infoGULF HEALTH HOSPITALS, INC
BAY MINETTE, AL 36507
33aNPI1154703726assigned 06/19/2015
33bProvider typeObstetrics Physician
28Total paid$45K
24GClaims1,856
24DCodes billed19
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other Obstetrics Physician providers in Alabama

Rank by total paid#3 of 7
Median peer was paid$8K
This provider vs. median5.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,856$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21% 153 138 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 21% 159 121 $9K
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% 266 198 $9K
J1050 Injection, medroxyprogesterone acetate, 1 mg 9.4% 87 66 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.8% 141 99 $4K
90670 3.8% 104 91 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.3% 160 113 $1K
99381 2.0% 17 14 $910.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.9% 23 18 $840.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.8% 17 13 $785.85
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.6% 16 12 $714.74
81002 1.3% 251 170 $572.61
7 more codes
90648 1.2% 41 $554.12
90698 1.2% 30 $534.33
81025 <1% 203 $364.80
90680 <1% 19 $336.43
90744 <1% 12 $237.48
36416 <1% 82 $172.50
36415 Collection of venous blood by venipuncture <1% 75 $106.00

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 officialKAHLBAU, APRIL (DIRECTOR OF OPERATIONS)