Clinic
Sylacauga Family Health Center L.L.C
Sylacauga Family Health Center L.L.C was paid $734K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoSYLACAUGA FAMILY HEALTH CENTER L.L.C
SYLACAUGA, AL 35150
SYLACAUGA, AL 35150
33aNPI1316962228assigned 07/12/2006
33bProvider typeClinic/Center
28Total paid$734K
24GClaims21,744
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Alabama
Rank by total paid#17 of 57
Median peer was paid$94K
This provider vs. median7.8×
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 | 4,515 | $105K | |
| 2019 | 4,421 | $117K | |
| 2020 | 2,059 | $110K | |
| 2021 | 3,236 | $119K | |
| 2022 | 3,299 | $119K | |
| 2023 | 2,781 | $105K | |
| 2024incomplete | 1,433 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 8,802 | 7,147 | $452K |
| 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 | 15% | 1,709 | 1,326 | $107K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 1,042 | 911 | $65K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.1% | 1,478 | 1,169 | $30K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 2.7% | 14 | 12 | $20K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.3% | 402 | 380 | $10K |
| 87428 | 1.2% | 296 | 284 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 494 | 419 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,364 | 983 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 510 | 451 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 106 | 96 | $4K |
| 59426 | <1% | 89 | 78 | $3K |
18 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 45 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 58 | $2K |
| H1000 | Prenatal care, at-risk assessment | <1% | 49 | $2K |
| 81002 | <1% | 741 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 52 | $908.84 |
| 81025 | <1% | 441 | $901.06 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 20 | $751.83 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $700.00 |
| 87807 | <1% | 43 | $429.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 19 | $210.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 103 | $139.76 |
| 85018 | <1% | 111 | $57.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 218 | $47.43 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 79 | $46.19 |
| 81003 | 0% | 1,791 | $0.00 | |
| 99072 | 0% | 1,628 | $0.00 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 14 | $0.00 |
| 01960 | 0% | 14 | $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 officialSWEARINGEN, MICHAEL (PHYSICIAN)