Clinic
Marion Regional Medical Center, INC.
Marion Regional Medical Center, INC. was paid $5.48M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoMARION REGIONAL MEDICAL CENTER, INC.
HAMILTON, AL 35570
HAMILTON, AL 35570
33aNPI1205254356assigned 04/04/2014
33bProvider typeRural Health Clinic/Center
28Total paid$5.48M
24GClaims114,392
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#6 of 80
Median peer was paid$818K
This provider vs. median6.7×
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 TOPPIN, BRUCE 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 | 21,789 | $838K | |
| 2019 | 24,844 | $931K | |
| 2020 | 13,042 | $625K | |
| 2021 | 19,216 | $785K | |
| 2022 | 13,020 | $793K | |
| 2023 | 12,337 | $823K | |
| 2024incomplete | 10,144 | $680K |
Box 24 · Service lines
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 | 97% | 50,893 | 37,105 | $5.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 34,750 | 23,336 | $97K |
| 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% | 12,585 | 8,195 | $15K |
| 90648 | <1% | 1,283 | 1,011 | $8K | |
| 90723 | <1% | 1,026 | 788 | $6K | |
| 87428 | <1% | 92 | 87 | $4K | |
| 90680 | <1% | 546 | 404 | $3K | |
| 90686 | <1% | 748 | 444 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,903 | 1,521 | $2K |
| 90670 | <1% | 499 | 300 | $2K | |
| 90716 | <1% | 272 | 246 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,416 | 1,073 | $2K |
25 more codes
| 90707 | <1% | 238 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 87 | $1K |
| 90651 | <1% | 254 | $1K | |
| 90633 | <1% | 201 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 111 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 448 | $589.66 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 36 | $375.50 |
| 90696 | <1% | 47 | $344.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 165 | $318.73 |
| 90697 | <1% | 30 | $224.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 281 | $217.54 |
| 90734 | <1% | 13 | $104.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,636 | $77.16 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 121 | $2.70 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 112 | $0.70 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 2,698 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 121 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 17 | $0.00 |
| 99381 | 0% | 31 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 0% | 366 | $0.00 |
| 99307 | 0% | 692 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 274 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 281 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 32 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 87 | $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 officialTOPPIN, BRUCE (CORPORATE SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.