Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ecm Health Group LLC

Ecm Health Group LLC was paid $1.10M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoECM HEALTH GROUP LLC
FLORENCE, AL 35630
33aNPI1346588852assigned 01/18/2013
28Total paid$1.10M
24GClaims53,302
24DCodes billed62
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Alabama

Rank by total paid#1 of 12
Median peer was paid$29K
This provider vs. median38×

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 LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20186,691$97K
20199,156$141K
20204,314$88K
20214,286$125K
202210,367$207K
202313,209$288K
2024incomplete5,279$153K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 18% 4,042 3,038 $202K
99223 Prolong inpt eval add15 m 16% 2,958 2,687 $177K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 11,378 4,170 $163K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 3,558 2,703 $120K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 9.4% 5,048 1,920 $104K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4.4% 1,482 1,086 $48K
J0717 Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 3.8% 122 56 $41K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.5% 774 288 $39K
59025 Fetal non-stress test 3.4% 2,364 1,259 $37K
99239 Hospital discharge day management, more than 30 minutes 3.1% 1,258 1,169 $34K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 2.1% 34 26 $24K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.1% 389 322 $23K
50 more codes
G9357 Post-partum screenings, evaluations and education performed 1.3% 150 $14K
H1000 Prenatal care, at-risk assessment <1% 112 $8K
76830 Ultrasound, transvaginal <1% 138 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,913 $7K
99204 Doctor's office visit, new patient (more involved) <1% 88 $6K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 130 $4K
99215 Doctor's office visit, returning patient (complex) <1% 67 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 498 $4K
99308 Subsequent nursing facility care, per day, straightforward <1% 644 $4K
80053 Comprehensive metabolic panel <1% 977 $4K
43235 <1% 25 $3K
96401 <1% 292 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 405 $2K
99222 Initial hospital care, per day, moderate complexity <1% 36 $2K
99221 <1% 104 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 36 $964.23
99238 Hospital discharge day management, 30 minutes or less <1% 53 $828.25
99307 <1% 227 $796.75
90715 <1% 31 $782.07
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 72 $732.50
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 46 $720.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 18 $544.05
96367 <1% 24 $531.96
90674 <1% 38 $482.96
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 143 $419.46
36415 Collection of venous blood by venipuncture <1% 944 $338.68
81000 <1% 215 $300.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 21 $238.00
90686 <1% 54 $190.30
82728 <1% 37 $169.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 54 $153.14
99306 Prolong nursin fac eval 15m <1% 31 $137.36
83550 <1% 37 $128.93
J1030 Injection, methylprednisolone acetate, 40 mg <1% 43 $115.00
87210 <1% 36 $95.00
83540 <1% 37 $90.61
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 59 $82.21
81002 <1% 18 $39.26
81001 <1% 14 $20.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 57 $17.62
3008F 0% 2,779 $0.00
1036F 0% 2,096 $0.00
3074F 0% 1,738 $0.00
3079F 0% 185 $0.00
3075F 0% 13 $0.00
1034F 0% 29 $0.00
1160F 0% 2,372 $0.00
3078F 0% 912 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,834 $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.