South Baldwin Family Practice LLC

South Baldwin Family Practice LLC was paid $7K by Medicaid between Jan 2018 and Oct 2023, across 5 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 58% of everything it billed.

33Billing provider infoSOUTH BALDWIN FAMILY PRACTICE LLC
FOLEY, AL 36535

33aNPI1184666760assigned 06/11/2006

33bProvider typeFamily Medicine Physician

28Total paid$7K

24GClaims555

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Family Medicine Physician providers in Alabama

Rank by total paid#325 of 455

Median peer was paid$57K

This provider vs. median0.1×

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	317	$551.50
2019	163	$1K
2022	34	$1K
2023	41	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95810	Polysomnography; sleep staging with 4 or more additional parameters	58%	41	38	$4K
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	23%	79	65	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	10%	21	12	$670.22
99490	Ccm add 20min	8.5%	399	367	$560.20
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	15	13	$39.40

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 officialALLEN, ELLIS (OWNER)