Clinic
East Central Mississippi Health Care, INC.
East Central Mississippi Health Care, INC. was paid $806K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoEAST CENTRAL MISSISSIPPI HEALTH CARE, INC.
NEWTON, MS 39345
NEWTON, MS 39345
33aNPI1184090482assigned 08/20/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$806K
24GClaims16,667
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Mississippi
Rank by total paid#30 of 189
Median peer was paid$110K
This provider vs. median7.3×
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 | 2,847 | $159K | |
| 2019 | 2,049 | $132K | |
| 2020 | 2,167 | $101K | |
| 2021 | 3,386 | $158K | |
| 2022 | 2,662 | $113K | |
| 2023 | 2,128 | $79K | |
| 2024incomplete | 1,428 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 4,877 | 4,123 | $434K |
| 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 | 42% | 4,505 | 3,691 | $338K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 136 | 114 | $12K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.3% | 1,395 | 1,007 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 68 | 63 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 26 | 25 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 14 | 13 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,118 | 901 | $225.01 |
| 85027 | <1% | 212 | 176 | $178.86 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $30.82 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 221 | 196 | $10.50 |
| 90686 | <1% | 103 | 103 | $9.50 |
24 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 70 | $4.00 |
| 90671 | <1% | 13 | $0.06 | |
| 90677 | <1% | 25 | $0.04 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 570 | $0.00 |
| 90670 | 0% | 125 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 585 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 325 | $0.00 |
| 90648 | 0% | 42 | $0.00 | |
| 99071 | 0% | 104 | $0.00 | |
| 87420 | 0% | 50 | $0.00 | |
| 1160F | 0% | 100 | $0.00 | |
| 3078F | 0% | 17 | $0.00 | |
| 81002 | 0% | 14 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| 90687 | 0% | 14 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 227 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 845 | $0.00 |
| 87428 | 0% | 441 | $0.00 | |
| 99000 | 0% | 131 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 13 | $0.00 |
| 3074F | 0% | 19 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 148 | $0.00 |
| 36416 | 0% | 43 | $0.00 | |
| 1036F | 0% | 33 | $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 officialBISHOP, JILL (CEO)
| Provider | Location | Paid |
|---|---|---|
| East Central Mississippi Health Care INC | Sebastopol, MS | $1.15M |
| East Central Mississippi Health Care, INC | Walnut Grove, MS | $119K |
| East Central Mississippi Health Care, INC. | Philadelphia, MS | $102K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.