Physician
Alabama Providence Healthcare Services
Alabama Providence Healthcare Services was paid $4.75M by Medicaid between Jan 2018 and Sep 2023, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoALABAMA PROVIDENCE HEALTHCARE SERVICES
MOBILE, AL 36608
MOBILE, AL 36608
33aNPI1245669514assigned 11/06/2013
33bProvider typeFamily Medicine Physician
28Total paid$4.75M
24GClaims263,940
24DCodes billed79
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#6 of 455
Median peer was paid$57K
This provider vs. median83×
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 | 18,014 | $461K | |
| 2019 | 36,766 | $903K | |
| 2020 | 31,006 | $816K | |
| 2021 | 74,998 | $1.36M | |
| 2022 | 89,622 | $1.12M | |
| 2023 | 13,534 | $92K |
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 | 31% | 32,414 | 26,079 | $1.45M |
| 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 | 25% | 16,701 | 13,456 | $1.20M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 8,786 | 7,198 | $493K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 7,418 | 5,945 | $389K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 990 | 859 | $136K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 15,481 | 12,532 | $120K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.1% | 2,459 | 2,268 | $98K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 5,535 | 4,583 | $95K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 1,333 | 984 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 1,321 | 1,077 | $70K |
| 90670 | 1.5% | 8,474 | 6,760 | $69K | |
| Q3014 | Telehealth originating site facility fee | 1.4% | 3,603 | 3,280 | $67K |
67 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,236 | $54K |
| 90698 | 1.0% | 6,189 | $50K | |
| 90680 | <1% | 5,592 | $45K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,012 | $36K |
| 87807 | <1% | 3,196 | $32K | |
| 90744 | <1% | 3,902 | $31K | |
| 99381 | <1% | 637 | $28K | |
| 90633 | <1% | 3,480 | $28K | |
| 90686 | <1% | 2,770 | $26K | |
| 99173 | <1% | 6,169 | $21K | |
| 92551 | <1% | 5,151 | $16K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 405 | $16K |
| 83655 | <1% | 1,521 | $15K | |
| 99243 | <1% | 120 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 148 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 350 | $6K |
| 90716 | <1% | 799 | $6K | |
| 90707 | <1% | 793 | $6K | |
| 90688 | <1% | 479 | $6K | |
| 90647 | <1% | 758 | $6K | |
| 90700 | <1% | 664 | $5K | |
| 96127 | <1% | 1,727 | $4K | |
| 31720 | <1% | 93 | $4K | |
| 90672 | <1% | 380 | $4K | |
| 90461 | <1% | 85 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 18 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 652 | $2K |
| 90734 | <1% | 56 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 79 | $2K |
| 92567 | <1% | 160 | $2K | |
| 99460 | <1% | 30 | $1K | |
| 90710 | <1% | 274 | $1K | |
| 90674 | <1% | 128 | $1K | |
| 90651 | <1% | 162 | $1K | |
| 0001A | <1% | 41 | $1K | |
| 0002A | <1% | 36 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 167 | $1K |
| 69210 | <1% | 42 | $990.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 721 | $950.00 |
| 90696 | <1% | 147 | $912.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | $900.57 |
| 99461 | <1% | 19 | $780.00 | |
| 99383 | <1% | 16 | $770.00 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 61 | $694.76 |
| 90723 | <1% | 70 | $368.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 31 | $279.00 |
| 85018 | <1% | 1,782 | $257.63 | |
| 90620 | <1% | 26 | $200.00 | |
| 81002 | <1% | 45 | $105.00 | |
| 90648 | <1% | 13 | $104.00 | |
| 82962 | <1% | 159 | $54.00 | |
| 3008F | 0% | 18,018 | $0.00 | |
| 1036F | 0% | 16,527 | $0.00 | |
| 1126F | 0% | 1,842 | $0.00 | |
| 3074F | 0% | 11,479 | $0.00 | |
| 2010F | 0% | 245 | $0.00 | |
| 99000 | 0% | 102 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 21 | $0.00 |
| 99318 | 0% | 36 | $0.00 | |
| 3079F | 0% | 66 | $0.00 | |
| 1125F | 0% | 15 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 33 | $0.00 |
| 1160F | 0% | 24,115 | $0.00 | |
| 1159F | 0% | 19,927 | $0.00 | |
| 3078F | 0% | 10,718 | $0.00 | |
| 3725F | 0% | 608 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 0% | 20 | $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 officialKENNEDY, TODD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Providence Hospital | Mobile, AL | $4.87M |
| Providence Hospital | Mobile, AL | $647K |
| Providence Hospital | Mobile, AL | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.