Clinic
Access Family Health Services, INC.
Access Family Health Services, INC. was paid $134K by Medicaid between Feb 2020 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoACCESS FAMILY HEALTH SERVICES, INC.
PONTOTOC, MS 38863
PONTOTOC, MS 38863
33aNPI1366004657assigned 07/08/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$134K
24GClaims14,301
24DCodes billed22
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Mississippi
Rank by total paid#87 of 189
Median peer was paid$110K
This provider vs. median1.2×
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 SUMERFORD, MARILYN controls 15+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 161 | $9K | |
| 2021 | 2,905 | $30K | |
| 2022 | 4,903 | $41K | |
| 2023 | 3,856 | $28K | |
| 2024incomplete | 2,476 | $25K |
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 | 56% | 569 | 498 | $75K |
| 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 | 29% | 334 | 276 | $39K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.6% | 77 | 67 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.5% | 71 | 62 | $7K |
| 99384 | 2.7% | 24 | 24 | $4K | |
| 99173 | 0% | 106 | 106 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 361 | 324 | $0.00 |
| 1160F | 0% | 1,483 | 1,217 | $0.00 | |
| 1159F | 0% | 808 | 685 | $0.00 | |
| 3078F | 0% | 1,745 | 1,448 | $0.00 | |
| 3725F | 0% | 691 | 597 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 838 | 362 | $0.00 |
10 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 26 | $0.00 |
| 90715 | 0% | 21 | $0.00 | |
| 1126F | 0% | 898 | $0.00 | |
| 1036F | 0% | 1,628 | $0.00 | |
| 3008F | 0% | 1,873 | $0.00 | |
| 3074F | 0% | 1,765 | $0.00 | |
| 1125F | 0% | 770 | $0.00 | |
| 92551 | 0% | 103 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 86 | $0.00 |
| 96127 | 0% | 24 | $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 officialSUMERFORD, MARILYN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Access Family Health Services, INC. | Smithville, MS | $711K |
| Access Family Health Services, INC. | Tremont, MS | $300K |
| Access Family Health Services, INC. | Tupelo, MS | $290K |
| Access Family Health Services, INC. | Amory, MS | $132K |
| Access Family Health Services, INC. | Nettleton, MS | $122K |
| Access Family Health Services, INC. | Tremont, MS | $109K |
| Access Family Health Services, INC. | Smithville, MS | $78K |
| Access Family Health Services, INC. | Hamilton, MS | $35K |
| Access Family Health Services, INC. | Smithville, MS | $21K |
| Access Family Health Services, INC. | Pontotoc, MS | $13K |
| Access Family Health Services, INC. | Houlka, MS | $12K |
| Access Family Health Services, INC. | Okolona, MS | $11K |
| Access Family Health Services, INC. | Nettleton, MS | $9K |
| Access Family Health Services, INC. | Ecru, MS | $5K |
| Access Family Health Services, INC. | Okolona, MS | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.