Clinic
Troy Family Medicine, PC
Troy Family Medicine, PC was paid $683K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoTROY FAMILY MEDICINE, PC
TROY, AL 36079
TROY, AL 36079
33aNPI1255481677assigned 01/10/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$683K
24GClaims21,062
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Alabama
Rank by total paid#16 of 75
Median peer was paid$56K
This provider vs. median12×
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 | 5,463 | $69K | |
| 2019 | 4,325 | $140K | |
| 2020 | 3,784 | $125K | |
| 2021 | 2,533 | $109K | |
| 2022 | 2,565 | $105K | |
| 2023 | 1,588 | $83K | |
| 2024incomplete | 804 | $52K |
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 | 59% | 6,459 | 5,512 | $405K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 5,573 | 4,647 | $230K |
| 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 | 2.4% | 220 | 183 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 2,725 | 1,721 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.4% | 1,659 | 1,462 | $10K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.3% | 813 | 577 | $9K |
| 90756 | <1% | 128 | 86 | $604.58 | |
| 82044 | <1% | 366 | 333 | $522.00 | |
| 99443 | <1% | 21 | 12 | $235.15 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 187 | 139 | $163.46 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | 12 | $88.00 |
| 99497 | <1% | 37 | 37 | $66.09 |
20 more codes
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 14 | $42.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | $35.00 |
| 81002 | <1% | 12 | $21.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 62 | $8.90 |
| 1126F | 0% | 371 | $0.00 | |
| 3080F | 0% | 18 | $0.00 | |
| 1170F | 0% | 838 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 76 | $0.00 |
| 1125F | 0% | 59 | $0.00 | |
| 3074F | 0% | 136 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 14 | $0.00 |
| 3044F | 0% | 12 | $0.00 | |
| 3079F | 0% | 51 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 860 | $0.00 |
| 3077F | 0% | 52 | $0.00 | |
| 1159F | 0% | 29 | $0.00 | |
| 1160F | 0% | 29 | $0.00 | |
| 3078F | 0% | 109 | $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 officialCHEATHAM, PHYLECYA (PRESIDENT)