Clinic
Access Family Health Services, INC.
Access Family Health Services, INC. was paid $290K by Medicaid between Mar 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoACCESS FAMILY HEALTH SERVICES, INC.
TUPELO, MS 38801
TUPELO, MS 38801
33aNPI1194991976assigned 05/01/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$290K
24GClaims10,105
24DCodes billed25
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Mississippi
Rank by total paid#63 of 189
Median peer was paid$110K
This provider vs. median2.6×
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 SUMERFORD, MARILYN controls 15+ 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 | 252 | $2K | |
| 2019 | 417 | $11K | |
| 2020 | 571 | $39K | |
| 2021 | 3,832 | $78K | |
| 2022 | 2,243 | $71K | |
| 2023 | 1,737 | $56K | |
| 2024incomplete | 1,053 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 78% | 2,418 | 2,145 | $225K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 528 | 390 | $26K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.7% | 231 | 174 | $25K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.3% | 95 | 64 | $10K |
| 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% | 870 | 743 | $4K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 28 | 25 | $338.63 |
| 0011A | <1% | 18 | 12 | $35.87 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 296 | 263 | $6.94 |
| 3074F | 0% | 558 | 474 | $0.00 | |
| 3008F | 0% | 1,010 | 850 | $0.00 | |
| 1126F | 0% | 653 | 559 | $0.00 | |
| 1036F | 0% | 600 | 468 | $0.00 |
13 more codes
| 1125F | 0% | 46 | $0.00 | |
| 3079F | 0% | 94 | $0.00 | |
| 90686 | 0% | 13 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 34 | $0.00 |
| 96127 | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 3075F | 0% | 13 | $0.00 | |
| 3044F | 0% | 14 | $0.00 | |
| 80305 | 0% | 79 | $0.00 | |
| 1159F | 0% | 201 | $0.00 | |
| 3725F | 0% | 965 | $0.00 | |
| 1160F | 0% | 916 | $0.00 | |
| 3078F | 0% | 395 | $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 officialSUMERFORD, MARILYN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Access Family Health Services, INC. | Smithville, MS | $711K |
| Access Family Health Services, INC. | Tremont, MS | $300K |
| Access Family Health Services, INC. | Pontotoc, MS | $134K |
| Access Family Health Services, INC. | Amory, MS | $132K |
| Access Family Health Services, INC. | Nettleton, MS | $122K |
| Access Family Health Services, INC. | Tremont, MS | $109K |
| Access Family Health Services, INC. | Smithville, MS | $78K |
| Access Family Health Services, INC. | Hamilton, MS | $35K |
| Access Family Health Services, INC. | Smithville, MS | $21K |
| Access Family Health Services, INC. | Pontotoc, MS | $13K |
| Access Family Health Services, INC. | Houlka, MS | $12K |
| Access Family Health Services, INC. | Okolona, MS | $11K |
| Access Family Health Services, INC. | Nettleton, MS | $9K |
| Access Family Health Services, INC. | Ecru, MS | $5K |
| Access Family Health Services, INC. | Okolona, MS | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.