Clinic
Cahaba Medical Care Foundation
Cahaba Medical Care Foundation was paid $68.74M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoCAHABA MEDICAL CARE FOUNDATION
CENTREVILLE, AL 35042
CENTREVILLE, AL 35042
33aNPI1316201809assigned 06/28/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$68.74M
24GClaims628,257
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Alabama
Rank by total paid#2 of 82
Median peer was paid$0.00
This provider vs. median0.0×
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 | 52,191 | $4.64M | |
| 2019 | 69,283 | $6.92M | |
| 2020 | 70,150 | $7.96M | |
| 2021 | 100,699 | $11.41M | |
| 2022 | 105,327 | $11.90M | |
| 2023 | 127,387 | $14.54M | |
| 2024incomplete | 103,220 | $11.37M |
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 | 97% | 346,756 | 258,422 | $66.67M |
| D9430 | 2.9% | 9,946 | 7,444 | $1.97M | |
| Q3014 | Telehealth originating site facility fee | <1% | 1,397 | 1,247 | $24K |
| 90686 | <1% | 2,069 | 1,980 | $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 | <1% | 112,737 | 86,908 | $21K |
| 90688 | <1% | 984 | 917 | $12K | |
| 90674 | <1% | 186 | 184 | $4K | |
| 90656 | <1% | 342 | 290 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,952 | 1,753 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 953 | 572 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 131 | 112 | $2K |
| 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 | <1% | 109,026 | 86,070 | $2K |
68 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 710 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,683 | $1K |
| 90670 | <1% | 160 | $1K | |
| 96127 | <1% | 585 | $1K | |
| 90698 | <1% | 120 | $952.00 | |
| 90677 | <1% | 129 | $840.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,834 | $741.68 |
| 90680 | <1% | 72 | $576.00 | |
| D0120 | Dental checkup, returning patient | <1% | 3,531 | $455.00 |
| 90744 | <1% | 38 | $216.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $182.09 |
| 90651 | <1% | 21 | $168.00 | |
| 90756 | <1% | 173 | $159.53 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 193 | $155.10 |
| 90660 | <1% | 12 | $96.00 | |
| 0012A | <1% | 299 | $19.70 | |
| 0011A | <1% | 447 | $8.07 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 4,907 | $0.00 |
| 0001A | 0% | 511 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 3,654 | $0.00 |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 649 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 458 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 796 | $0.00 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 370 | $0.00 |
| 76830 | Ultrasound, transvaginal | 0% | 400 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 2,031 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 78 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 242 | $0.00 |
| 3008F | 0% | 46 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 186 | $0.00 |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 0% | 17 | $0.00 |
| 0031A | 0% | 64 | $0.00 | |
| 3074F | 0% | 54 | $0.00 | |
| 0072A | 0% | 104 | $0.00 | |
| 76801 | 0% | 37 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 28 | $0.00 |
| 99305 | 0% | 23 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 73 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 3,003 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 2,621 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 2,307 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 266 | $0.00 |
| 81002 | 0% | 993 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 474 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,061 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 279 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 563 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 401 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 548 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 205 | $0.00 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 0% | 262 | $0.00 |
| 0002A | 0% | 331 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 139 | $0.00 |
| 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 | 0% | 309 | $0.00 |
| 1159F | 0% | 64 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,498 | $0.00 |
| 0071A | 0% | 148 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 175 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 16 | $0.00 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 108 | $0.00 |
| 1160F | 0% | 47 | $0.00 | |
| 0053A | 0% | 28 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 42 | $0.00 |
| 99201 | 0% | 19 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 39 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 27 | $0.00 |
| 3725F | 0% | 15 | $0.00 | |
| 3078F | 0% | 39 | $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 officialWAITS, JOHN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cahaba Medical Care Foundation | Centreville, AL | $125K |
| Wounds LLC. | Tuscaloosa, AL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.