Fort Payne Clinic Corp.
Fort Payne Clinic Corp. was paid $2.00M by Medicaid between Jan 2018 and Mar 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
FORT PAYNE, AL 35960
Next to other Orthopaedic Surgery 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 | 7,712 | $153K | |
| 2019 | 11,796 | $277K | |
| 2020 | 8,053 | $318K | |
| 2021 | 15,442 | $353K | |
| 2022 | 20,590 | $420K | |
| 2023 | 14,310 | $388K | |
| 2024incomplete | 3,050 | $90K |
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 | 47% | 24,382 | 18,687 | $934K |
| 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 | 35% | 14,087 | 12,024 | $707K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.7% | 2,711 | 2,425 | $174K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.7% | 902 | 682 | $35K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.5% | 1,383 | 993 | $30K |
| 99205 | Prolong outpt/office vis | 1.4% | 233 | 199 | $27K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.0% | 1,328 | 1,188 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,897 | 1,858 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 125 | 119 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 449 | 323 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 935 | 349 | $7K |
| 99490 | Ccm add 20min | <1% | 2,631 | 2,428 | $6K |
47 more codes
| 73560 | <1% | 309 | $5K | |
| 73110 | <1% | 196 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 863 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 117 | $2K |
| 73630 | <1% | 103 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,908 | $2K |
| 87428 | <1% | 39 | $2K | |
| 86318 | <1% | 156 | $2K | |
| 73610 | <1% | 91 | $1K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 261 | $1K |
| 90686 | <1% | 97 | $1K | |
| 29075 | <1% | 21 | $1K | |
| 90756 | <1% | 92 | $1K | |
| 93000 | <1% | 72 | $874.29 | |
| 20552 | <1% | 50 | $837.44 | |
| 99285 | Emergency room visit (most serious) | <1% | 17 | $624.00 |
| 73562 | <1% | 47 | $522.12 | |
| 0011A | <1% | 13 | $440.00 | |
| 99000 | <1% | 124 | $364.00 | |
| 73080 | <1% | 17 | $340.65 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 805 | $338.07 |
| 73130 | <1% | 18 | $304.00 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 21 | $247.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 268 | $242.74 |
| 20610 | <1% | 24 | $228.64 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 242 | $189.86 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 32 | $156.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 53 | $150.00 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $95.34 |
| 87400 | <1% | 23 | $95.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 170 | $90.84 |
| 99152 | <1% | 18 | $67.75 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $6.31 |
| 3008F | 0% | 4,840 | $0.00 | |
| 3074F | 0% | 2,389 | $0.00 | |
| 3079F | 0% | 441 | $0.00 | |
| 1036F | 0% | 4,697 | $0.00 | |
| 1034F | 0% | 465 | $0.00 | |
| 3075F | 0% | 248 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 140 | $0.00 |
| 1125F | 0% | 85 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | $0.00 |
| 99439 | 0% | 27 | $0.00 | |
| 1160F | 0% | 3,990 | $0.00 | |
| 3078F | 0% | 2,149 | $0.00 | |
| 1159F | 0% | 3,062 | $0.00 | |
| 3077F | 0% | 43 | $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
| Provider | Location | Paid |
|---|---|---|
| Mckenzie-Willamette Regional Medical Center Associates LLC | Springfield, OR | $44.67M |
| Deming Hospital Corporation | Deming, NM | $11.41M |
| Three Rivers Medical Clinics INC | Louisa, KY | $7.06M |
| Ambulance Services of Forrest City LLC | Forrest City, AR | $3.51M |
| Ambulance Services of Tooele, LLC | Tooele, UT | $3.42M |
| Paintsville Hma Physician Management, LLC | Paintsville, KY | $2.41M |
| Deming Clinic Corporation | Deming, NM | $2.06M |
| San Miguel Clinic Corp | Las Vegas, NM | $1.76M |
| Fort Payne RHC Corp | Fort Payne, AL | $1.76M |
| Jackson Hospital Corporation | Beattyville, KY | $1.68M |
| Tooele Clinic Corp | Tooele, UT | $1.29M |
| Williamston Clinic Corp | Williamston, NC | $1.26M |
| Mckenzie Physician Services LLC | Brentwood, TN | $1.24M |
| Anna Hospital Corporation | Anna, IL | $1.17M |
| Big Bend Hospital Corporation | Alpine, TX | $952K |
| Kentucky River Physician Corporation | Jackson, KY | $948K |
| Fort Payne HBP LLC | Fort Payne, AL | $731K |
| Forrest City Clinic Company LLC | Forrest City, AR | $702K |
| Mesquite Clinic Management Company LLC | Logandale, NV | $597K |
| Mesquite Clinic Management Company LLC | Mesquite, NV | $556K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.