Physician
Rainsville Family Practice LLC
Rainsville Family Practice LLC was paid $1K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoRAINSVILLE FAMILY PRACTICE LLC
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
33aNPI1164679676assigned 08/26/2008
33bProvider typeFamily Medicine Physician
28Total paid$1K
24GClaims916
24DCodes billed5
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#373 of 455
Median peer was paid$57K
This provider vs. median0.0×
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 | 684 | $1K | |
| 2019 | 232 | $0.00 |
Box 24 · Service lines
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 | 100% | 71 | 67 | $1K |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 270 | 222 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 279 | 230 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 48 | 39 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 248 | 206 | $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 officialHORTON, THOMAS (OWNER)