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.
FLORENCE, AL 35630
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Alabama
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,691 | $97K | |
| 2019 | 9,156 | $141K | |
| 2020 | 4,314 | $88K | |
| 2021 | 4,286 | $125K | |
| 2022 | 10,367 | $207K | |
| 2023 | 13,209 | $288K | |
| 2024incomplete | 5,279 | $153K |
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 | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.