Clinic
Rush Hospital/Butler, INC
Rush Hospital/Butler, INC was paid $885K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoRUSH HOSPITAL/BUTLER, INC
GILBERTOWN, AL 36908
GILBERTOWN, AL 36908
33aNPI1275050189assigned 08/23/2017
33bProvider typeRural Health Clinic/Center
28Total paid$885K
24GClaims28,481
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#37 of 80
Median peer was paid$818K
This provider vs. median1.1×
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 KENNEDY, DON 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 | 3,475 | $78K | |
| 2019 | 4,321 | $152K | |
| 2020 | 3,181 | $134K | |
| 2021 | 3,650 | $151K | |
| 2022 | 6,626 | $163K | |
| 2023 | 4,838 | $133K | |
| 2024incomplete | 2,390 | $74K |
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 | 95% | 8,772 | 6,304 | $840K |
| 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 | 2.5% | 3,799 | 2,632 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 5,868 | 4,164 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 431 | 382 | $953.82 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 617 | 547 | $843.12 |
| 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% | 382 | 210 | $660.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 110 | 77 | $583.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 767 | 619 | $310.66 |
| 36415 | Collection of venous blood by venipuncture | <1% | 470 | 418 | $228.00 |
| 90686 | <1% | 18 | 15 | $175.15 | |
| 99490 | Ccm add 20min | <1% | 86 | 85 | $169.23 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 70 | 67 | $98.57 |
17 more codes
| 80053 | Comprehensive metabolic panel | <1% | 12 | $84.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,049 | $75.79 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 211 | $59.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,368 | $8.15 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 850 | $3.68 |
| 3074F | 0% | 612 | $0.00 | |
| 3008F | 0% | 971 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 83 | $0.00 |
| 3079F | 0% | 34 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 35 | $0.00 |
| 87428 | 0% | 16 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 14 | $0.00 |
| 1159F | 0% | 499 | $0.00 | |
| 3078F | 0% | 233 | $0.00 | |
| 99173 | 0% | 15 | $0.00 | |
| 1160F | 0% | 56 | $0.00 | |
| 81003 | 0% | 33 | $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, DON (REGIONAL CEO)
Parent organizationRUSH HOSPITAL/BUTLER, INC.
| Provider | Location | Paid |
|---|---|---|
| Rush Medical Foundation | Meridian, MS | $29.41M |
| Laird Hospital, INC. | Union, MS | $7.23M |
| Laird Hospital, INC. | Meridian, MS | $5.90M |
| Laird Hospital, INC | Meridian, MS | $5.27M |
| Rush Medical Foundation | Quitman, MS | $4.69M |
| Kemper, Cah, INC | Livingston, AL | $4.50M |
| Medical Foundation, INC. | Meridian, MS | $4.20M |
| Kemper Cah, INC. | De Kalb, MS | $4.06M |
| Scott Regional Medical Center, INC. | Morton, MS | $3.77M |
| Kemper Cah, INC | Meridian, MS | $3.39M |
| Rush Hospital/Butler, INC | Butler, AL | $1.94M |
| Medical Foundation, INC. | Meridian, MS | $1.82M |
| The Medical Store, INC. | Meridian, MS | $1.66M |
| Rush Medical Foundation | Meridian, MS | $1.61M |
| Medical Foundation, INC. | Meridian, MS | $1.37M |
| Laird Hospital, INC. | Union, MS | $1.31M |
| Medical Foundation, INC. | Meridian, MS | $1.27M |
| Scott Regional Medical Center, INC. | Morton, MS | $1.21M |
| Rush Medical Foundation | Quitman, MS | $978K |
| Kemper Cah, INC | Meridian, MS | $910K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.