Physician
Craddock Health Center P C
Craddock Health Center P C was paid $712K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCRADDOCK HEALTH CENTER P C
SYLACAUGA, AL 35150
SYLACAUGA, AL 35150
33aNPI1184669483assigned 06/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$712K
24GClaims22,804
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Alabama
Rank by total paid#16 of 225
Median peer was paid$17K
This provider vs. median41×
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 | 4,944 | $107K | |
| 2019 | 2,790 | $72K | |
| 2020 | 2,751 | $92K | |
| 2021 | 2,260 | $90K | |
| 2022 | 3,383 | $125K | |
| 2023 | 3,614 | $132K | |
| 2024incomplete | 3,062 | $94K |
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 | 48% | 8,043 | 6,916 | $339K |
| 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 | 24% | 2,281 | 2,016 | $169K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 21% | 8,725 | 8,175 | $146K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.5% | 1,407 | 543 | $32K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 90 | 85 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 184 | 165 | $4K |
| 87428 | <1% | 54 | 45 | $2K | |
| 99490 | Ccm add 20min | <1% | 169 | 156 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 282 | 267 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 282 | 268 | $2K |
| 99304 | <1% | 69 | 63 | $950.73 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 154 | 145 | $907.94 |
9 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 65 | $872.83 |
| 36415 | Collection of venous blood by venipuncture | <1% | 802 | $856.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 30 | $791.10 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 27 | $724.25 |
| 80061 | Lipid panel | <1% | 51 | $434.00 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 39 | $412.74 |
| 82947 | <1% | 25 | $36.00 | |
| 85027 | <1% | 13 | $5.00 | |
| 84439 | 0% | 12 | $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 officialHERNANDEZ, DONNA (OFFICE MANAGER)