Clinic
The Emory Clinic INC
The Emory Clinic INC was paid $2.08M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoTHE EMORY CLINIC INC
LAGRANGE, GA 30240
LAGRANGE, GA 30240
33aNPI1285912600assigned 08/02/2011
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$2.08M
24GClaims67,718
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Georgia
Rank by total paid#1 of 7
Median peer was paid$2K
This provider vs. median1,181×
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 | 7,512 | $268K | |
| 2019 | 6,282 | $225K | |
| 2020 | 3,132 | $132K | |
| 2021 | 6,646 | $188K | |
| 2022 | 8,655 | $295K | |
| 2023 | 29,886 | $776K | |
| 2024incomplete | 5,605 | $195K |
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 | 40% | 20,145 | 18,457 | $834K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 9,864 | 4,050 | $378K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 7,760 | 7,173 | $264K |
| 99223 | Prolong inpt eval add15 m | 4.9% | 1,463 | 1,236 | $101K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.8% | 1,633 | 1,482 | $79K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.0% | 867 | 819 | $62K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.8% | 1,470 | 1,301 | $58K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 2,253 | 960 | $52K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.0% | 1,111 | 441 | $21K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 524 | 503 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 361 | 309 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 414 | 357 | $15K |
62 more codes
| 99221 | <1% | 372 | $14K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 239 | $14K |
| 99283 | Emergency room visit (moderate) | <1% | 236 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 177 | $10K |
| 93000 | <1% | 968 | $10K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 951 | $10K |
| 94060 | <1% | 550 | $9K | |
| 92250 | <1% | 582 | $9K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,813 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 193 | $8K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 84 | $7K |
| 94729 | <1% | 499 | $7K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 129 | $6K |
| 94727 | <1% | 416 | $5K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 378 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 285 | $5K |
| 95117 | <1% | 588 | $4K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 182 | $4K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 27 | $4K |
| 20610 | <1% | 79 | $3K | |
| 99285 | Emergency room visit (most serious) | <1% | 48 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 64 | $3K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 178 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 31 | $2K |
| 00142 | <1% | 104 | $1K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 26 | $1K |
| 99305 | <1% | 31 | $1K | |
| 93296 | <1% | 92 | $991.85 | |
| 95012 | <1% | 163 | $943.12 | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 14 | $872.22 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $843.77 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 135 | $668.50 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 107 | $515.78 |
| 93295 | <1% | 26 | $494.21 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $361.92 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 52 | $313.54 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 21 | $291.90 |
| 73562 | <1% | 12 | $271.00 | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 13 | $265.33 |
| 36415 | Collection of venous blood by venipuncture | <1% | 207 | $255.96 |
| 93016 | <1% | 15 | $194.85 | |
| 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) | <1% | 706 | $174.90 |
| 3074F | <1% | 1,087 | $150.00 | |
| 93018 | <1% | 15 | $140.31 | |
| 3078F | <1% | 1,190 | $100.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 27 | $72.21 |
| 3066F | <1% | 1,354 | $45.00 | |
| 85610 | <1% | 17 | $31.12 | |
| 3062F | <1% | 182 | $30.00 | |
| 81002 | <1% | 15 | $25.12 | |
| 3079F | <1% | 132 | $25.00 | |
| 1160F | 0% | 376 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 36 | $0.00 |
| 3077F | 0% | 74 | $0.00 | |
| 3008F | 0% | 4,185 | $0.00 | |
| 3048F | 0% | 94 | $0.00 | |
| 1036F | 0% | 21 | $0.00 | |
| 4010F | 0% | 122 | $0.00 | |
| 3044F | 0% | 28 | $0.00 | |
| 1125F | 0% | 14 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 37 | $0.00 |
| 3075F | 0% | 13 | $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 officialBRUNN, DONALD (COO)