Clinic
Hale County Hospital
Hale County Hospital was paid $1.92M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoHALE COUNTY HOSPITAL
MOUNDVILLE, AL 35474
MOUNDVILLE, AL 35474
33aNPI1376901686assigned 02/01/2016
33bProvider typeRural Health Clinic/Center
28Total paid$1.92M
24GClaims46,140
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#26 of 80
Median peer was paid$818K
This provider vs. median2.3×
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 | 3,860 | $133K | |
| 2019 | 4,709 | $172K | |
| 2020 | 3,552 | $157K | |
| 2021 | 5,821 | $272K | |
| 2022 | 7,262 | $342K | |
| 2023 | 10,113 | $468K | |
| 2024incomplete | 10,823 | $373K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 96% | 20,569 | 16,592 | $1.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 9,406 | 7,782 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,777 | 3,324 | $17K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,214 | 1,031 | $14K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 601 | 498 | $6K |
| 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 | <1% | 2,040 | 1,733 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,093 | 993 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 801 | 714 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,246 | 1,128 | $2K |
| 90686 | <1% | 102 | 100 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 315 | 243 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 572 | 405 | $662.88 |
15 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 204 | $642.53 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 106 | $482.32 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $337.25 |
| 90651 | <1% | 58 | $304.00 | |
| 99173 | <1% | 1,049 | $160.08 | |
| 90619 | <1% | 26 | $104.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,010 | $96.45 |
| 36415 | Collection of venous blood by venipuncture | <1% | 85 | $40.86 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 819 | $27.45 |
| 81003 | <1% | 165 | $13.80 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 603 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 149 | $0.00 |
| 81025 | 0% | 13 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 46 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 29 | $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 officialWHALEY, SHAY (CEO)