Hospital
Marshall Medical Center South
Marshall Medical Center South was paid $2.82M by Medicaid between Jan 2018 and Jan 2022, across 127 billing codes. Its largest line is 99284, emergency room visit (serious) — 39% of everything it billed.
33Billing provider infoMARSHALL MEDICAL CENTER SOUTH
BOAZ, AL 35957
BOAZ, AL 35957
33aNPI1306914882assigned 12/01/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.82M
24GClaims143,238
24DCodes billed127
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other General Acute Care Hospital providers in Alabama
Rank by total paid#26 of 77
Median peer was paid$1.13M
This provider vs. median2.5×
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 | 76,886 | $1.49M | |
| 2019 | 63,941 | $1.33M | |
| 2020 | 1,706 | $0.00 | |
| 2021 | 670 | $0.00 | |
| 2022 | 35 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 39% | 19,732 | 18,203 | $1.11M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 23% | 17,182 | 16,386 | $636K |
| D9420 | 5.7% | 617 | 592 | $162K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.0% | 19,240 | 17,216 | $142K |
| 80053 | Comprehensive metabolic panel | 4.6% | 14,571 | 13,012 | $128K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.5% | 8,254 | 5,516 | $127K |
| 87430 | 1.7% | 3,184 | 3,077 | $48K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.5% | 4,316 | 3,938 | $41K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.4% | 2,545 | 1,506 | $39K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.3% | 2,283 | 2,224 | $36K |
| 80061 | Lipid panel | 1.1% | 2,114 | 2,076 | $32K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,607 | 1,564 | $19K |
115 more codes
| 81003 | <1% | 7,475 | $17K | |
| 85027 | <1% | 3,226 | $17K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,497 | $15K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 411 | $13K |
| 82607 | <1% | 810 | $13K | |
| 80055 | <1% | 166 | $12K | |
| 62323 | <1% | 150 | $12K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,384 | $12K |
| 80305 | <1% | 1,264 | $11K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 853 | $10K |
| 82746 | <1% | 778 | $9K | |
| 99285 | Emergency room visit (most serious) | <1% | 70 | $8K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 144 | $8K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 139 | $8K |
| 87420 | <1% | 487 | $8K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 968 | $7K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 395 | $7K |
| 83655 | <1% | 313 | $5K | |
| 71045 | Radiologic examination, chest; single view | <1% | 1,223 | $4K |
| 86592 | <1% | 766 | $4K | |
| 86701 | <1% | 332 | $4K | |
| 84484 | <1% | 859 | $4K | |
| 80074 | <1% | 79 | $4K | |
| 43235 | <1% | 54 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 132 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 404 | $3K |
| 80047 | <1% | 439 | $3K | |
| 86850 | <1% | 525 | $3K | |
| 59025 | Fetal non-stress test | <1% | 728 | $3K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 88 | $3K |
| 83735 | <1% | 393 | $3K | |
| 87070 | <1% | 284 | $3K | |
| 83690 | <1% | 593 | $3K | |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 22 | $3K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 128 | $3K |
| 81025 | <1% | 914 | $3K | |
| 86762 | <1% | 131 | $3K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 64 | $2K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 14 | $2K |
| 85610 | <1% | 710 | $2K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 80 | $2K |
| 87340 | <1% | 145 | $2K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 58 | $2K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 14 | $2K |
| 84702 | <1% | 135 | $2K | |
| 82550 | <1% | 404 | $2K | |
| 82150 | <1% | 297 | $2K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 13 | $1K |
| 83880 | <1% | 91 | $1K | |
| 74022 | <1% | 69 | $1K | |
| 82950 | <1% | 182 | $1K | |
| 86706 | <1% | 79 | $1K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 227 | $1K |
| 76818 | <1% | 22 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 747 | $816.97 |
| 75625 | <1% | 13 | $712.95 | |
| 70486 | <1% | 14 | $667.20 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 418 | $661.69 |
| 85651 | <1% | 171 | $642.06 | |
| 86160 | <1% | 31 | $637.20 | |
| 86140 | <1% | 321 | $628.26 | |
| 80076 | <1% | 79 | $601.92 | |
| 85730 | <1% | 456 | $595.68 | |
| 86901 | <1% | 193 | $547.68 | |
| 87081 | <1% | 60 | $496.53 | |
| 86900 | <1% | 141 | $411.25 | |
| 81001 | <1% | 119 | $353.40 | |
| 84439 | <1% | 37 | $332.97 | |
| 43450 | <1% | 24 | $325.56 | |
| 83605 | <1% | 46 | $291.46 | |
| 85014 | <1% | 83 | $274.13 | |
| 85018 | <1% | 83 | $271.08 | |
| 82105 | <1% | 12 | $264.12 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 58 | $256.08 |
| 84703 | <1% | 38 | $242.64 | |
| 87040 | <1% | 37 | $232.53 | |
| 82803 | <1% | 13 | $228.24 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 379 | $216.20 |
| 86803 | <1% | 12 | $207.24 | |
| 84481 | <1% | 13 | $206.04 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 74 | $194.41 |
| 82947 | <1% | 42 | $181.35 | |
| 83550 | <1% | 13 | $141.24 | |
| 73110 | <1% | 13 | $136.44 | |
| 82553 | <1% | 15 | $119.07 | |
| 84479 | <1% | 24 | $118.14 | |
| 74018 | <1% | 16 | $113.40 | |
| 87186 | <1% | 15 | $111.21 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 369 | $101.12 |
| 83540 | <1% | 13 | $92.76 | |
| 84436 | <1% | 25 | $92.46 | |
| J0780 | Injection, prochlorperazine, up to 10 mg | <1% | 14 | $87.93 |
| 82570 | <1% | 13 | $60.48 | |
| A0425 | Ground mileage, per statute mile | <1% | 1,659 | $57.03 |
| 84156 | <1% | 13 | $40.41 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 41 | $30.56 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,004 | $22.40 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 49 | $10.00 |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 28 | $4.00 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 42 | $3.20 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,798 | $2.28 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 37 | $1.76 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 59 | $0.00 |
| 93018 | 0% | 33 | $0.00 | |
| A0427 | Emergency ambulance ride, advanced life support | 0% | 714 | $0.00 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 0% | 286 | $0.00 |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 0% | 192 | $0.00 |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 0% | 17 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 33 | $0.00 |
| C1769 | Guide wire | 0% | 20 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 33 | $0.00 |
| C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser | 0% | 21 | $0.00 |
| D2710 | 0% | 13 | $0.00 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 0% | 13 | $0.00 |
| 76937 | 0% | 16 | $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 officialNELSON, KATHY (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Marshall Medical Center South | Boaz, AL | $1.34M |
| Marshall Medical Center South | Boaz, AL | $262K |
| Marshall Medical Center South Medical Oncology Services | Boaz, AL | $103K |
| Marshall Medical Center South | Boaz, AL | $60K |
| Marshall Medical Center North | Guntersville, AL | $43K |
| Marshall Medical Center South Medical Specialists of North Alabama | Guntersville, AL | $18K |
| Marshall Medical Center South | Guntersville, AL | $16K |
| Marshall Medical Center South Burson Urology | Boaz, AL | $10K |
| Marshall Medical Center South | Boaz, AL | $694.65 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.