Clinic
Avalon Family Care LLC
Avalon Family Care LLC was paid $2K by Medicaid between Sep 2021 and May 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoAVALON FAMILY CARE LLC
MADISON, AL 35758
MADISON, AL 35758
33aNPI1366057986assigned 09/10/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$2K
24GClaims61
24DCodes billed2
24AFirst – last monthSep 2021 – May 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Alabama
Rank by total paid#64 of 75
Median peer was paid$56K
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 | |
|---|---|---|---|
| 2021 | 13 | $462.00 | |
| 2022 | 17 | $778.76 | |
| 2023 | 17 | $549.13 | |
| 2024incomplete | 14 | $468.58 |
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 | 55% | 30 | 25 | $1K |
| 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 | 45% | 31 | 26 | $1K |
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 officialFINNILA, CANDICE (CO-OWNER)