Fort Payne RHC Corp
Fort Payne RHC Corp was paid $1.76M by Medicaid between Jan 2018 and Mar 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
FORT PAYNE, AL 35968
Next to other Pediatrics Physician providers in Alabama
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,369 | $257K | |
| 2019 | 7,278 | $264K | |
| 2020 | 6,518 | $233K | |
| 2021 | 6,301 | $311K | |
| 2022 | 6,324 | $313K | |
| 2023 | 8,134 | $304K | |
| 2024incomplete | 1,538 | $75K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 22,465 | 14,706 | $1.67M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.3% | 773 | 557 | $58K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 512 | 404 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,233 | 714 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 497 | 389 | $2K |
| 90686 | <1% | 1,310 | 430 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 116 | 95 | $1K |
| 90734 | <1% | 376 | 181 | $1K | |
| 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% | 10,782 | 5,990 | $856.04 |
| 90651 | <1% | 248 | 96 | $738.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 650 | 131 | $666.83 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 105 | 61 | $616.12 |
15 more codes
| 87400 | <1% | 58 | $290.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,715 | $282.92 |
| 90688 | <1% | 37 | $240.00 | |
| 90715 | <1% | 92 | $224.00 | |
| 90620 | <1% | 14 | $96.00 | |
| 90698 | <1% | 47 | $88.00 | |
| 90710 | <1% | 29 | $56.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 601 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 26 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 154 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 14 | $0.00 |
| 81002 | 0% | 38 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 189 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 179 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 202 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.