Clinic
Sumrall Family Health Center
Sumrall Family Health Center was paid $1.07M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoSUMRALL FAMILY HEALTH CENTER
SUMRALL, MS 39482
SUMRALL, MS 39482
33aNPI1184694036assigned 01/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.07M
24GClaims35,300
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Mississippi
Rank by total paid#19 of 189
Median peer was paid$110K
This provider vs. median9.7×
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.
Entity ProliferationAuthorized official ROBINSON, JANICE controls 20+ related entities in our dataset. Read more
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 | 2,741 | $107K | |
| 2019 | 5,285 | $235K | |
| 2020 | 3,799 | $193K | |
| 2021 | 5,089 | $189K | |
| 2022 | 6,408 | $146K | |
| 2023 | 6,857 | $123K | |
| 2024incomplete | 5,121 | $74K |
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 | 88% | 10,113 | 8,928 | $936K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.3% | 576 | 469 | $77K |
| 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 | 4.1% | 4,508 | 3,731 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | 30 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,341 | 2,159 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 208 | 177 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 563 | 436 | $792.41 |
| 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 | <1% | 16 | 16 | $353.42 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 45 | 43 | $320.16 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 158 | 117 | $309.26 |
| 81003 | <1% | 430 | 386 | $104.07 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 176 | 157 | $5.76 |
27 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 81 | $1.94 |
| 3077F | 0% | 408 | $0.00 | |
| 1160F | 0% | 1,744 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 997 | $0.00 |
| 1159F | 0% | 1,743 | $0.00 | |
| 3078F | 0% | 1,966 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 728 | $0.00 |
| 80061 | Lipid panel | 0% | 80 | $0.00 |
| 82947 | 0% | 113 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| 81002 | 0% | 46 | $0.00 | |
| 99173 | 0% | 100 | $0.00 | |
| 81025 | 0% | 59 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 18 | $0.00 |
| 3008F | 0% | 3,180 | $0.00 | |
| 90686 | 0% | 316 | $0.00 | |
| 3079F | 0% | 635 | $0.00 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 68 | $0.00 |
| 36416 | 0% | 1,070 | $0.00 | |
| 3074F | 0% | 2,003 | $0.00 | |
| 1220F | 0% | 450 | $0.00 | |
| 3075F | 0% | 79 | $0.00 | |
| 85018 | 0% | 93 | $0.00 | |
| 92551 | 0% | 67 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 19 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 3080F | 0% | 34 | $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 officialROBINSON, JANICE (CHIEF EXECUTIVE OFFICER)
Parent organizationSOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.