Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HALE COUNTY HOSPITAL

NPI: 1376901686 · MOUNDVILLE, AL 35474 · Rural Health Clinic/Center · NPI assigned 02/01/2016

$1.92M
Total Medicaid Paid
46,140
Total Claims
37,952
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWHALEY, SHAY (CEO)
NPI Enumeration Date02/01/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 10,823 $373K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 20,569 16,592 $1.84M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,406 7,782 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,777 3,324 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,214 1,031 $14K
90792 Psychiatric diagnostic evaluation with medical services 601 498 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,040 1,733 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,093 993 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 801 714 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,246 1,128 $2K
90686 102 100 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 315 243 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 572 405 $662.88
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 204 140 $642.53
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 106 87 $482.32
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 33 $337.25
90651 58 39 $304.00
99173 1,049 866 $160.08
90619 26 14 $104.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,010 797 $96.45
36415 Collection of venous blood by venipuncture 85 62 $40.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg 819 637 $27.45
81003 165 137 $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 603 413 $0.00
90832 Psychotherapy, 30 minutes with patient 149 130 $0.00
81025 13 12 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 46 30 $0.00
90834 Psychotherapy, 45 minutes with patient 29 12 $0.00