Physician
Vaughan Physician Practices LLC
Vaughan Physician Practices LLC was paid $59K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 25% of everything it billed.
33Billing provider infoVAUGHAN PHYSICIAN PRACTICES LLC
SELMA, AL 36701
SELMA, AL 36701
33aNPI1407277460assigned 12/18/2013
33bProvider typeVascular Surgery Physician
28Total paid$59K
24GClaims3,897
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Vascular Surgery Physician providers in Alabama
Rank by total paid#1 of 14
Median peer was paid$8K
This provider vs. median7.1×
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 JUDY, JESS controls 20+ 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 | |
|---|---|---|---|
| 2018 | 91 | $2K | |
| 2019 | 164 | $3K | |
| 2020 | 230 | $2K | |
| 2021 | 514 | $7K | |
| 2022 | 251 | $8K | |
| 2023 | 752 | $13K | |
| 2024incomplete | 1,895 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 25% | 634 | 490 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 972 | 568 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 286 | 207 | $10K |
| 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 | 14% | 329 | 246 | $8K |
| 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 | 11% | 80 | 76 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.7% | 285 | 253 | $4K |
| 90961 | 4.6% | 140 | 100 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 24 | 13 | $728.99 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 13 | 13 | $651.69 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 30 | 12 | $212.58 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | 13 | $130.83 |
| 36415 | Collection of venous blood by venipuncture | <1% | 40 | 38 | $52.00 |
6 more codes
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 officialJUDY, JESS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DLP Twin County Physician Practices LLC | Galax, VA | $3.66M |
| DLP Marquette Physician Practices INC | Marquette, MI | $1.23M |
| DLP Twin County Physician Practices LLC | Hillsville, VA | $570K |
| DLP Twin County Physician Practices LLC | Galax, VA | $482K |
| Amg - Hillside, LLC | Pulaski, TN | $309K |
| DLP Maria Parham Physician Practices, LLC | Henderson, NC | $169K |
| DLP Maria Parham Physician Practices, LLC | Henderson, NC | $138K |
| Vaughan Physician Practices LLC | Selma, AL | $136K |
| DLP Twin County Physician Practices LLC | Galax, VA | $119K |
| Castleview Physician Practices, LLC | Price, UT | $110K |
| Bolivar Physician Practices LLC | Cleveland, MS | $105K |
| Amg-Hillside LLC | Pulaski, TN | $98K |
| Clark Regional Physician Practices LLC | Winchester, KY | $62K |
| DLP Conemaugh Physician Practices LLC | Johnstown, PA | $49K |
| Minden Physician Practices LLC | Minden, LA | $30K |
| Amg Hillside LLC | Pulaski, TN | $24K |
| Meadowview Physician Practice LLC | Maysville, KY | $20K |
| Castleview Physician Practices LLC | Price, UT | $14K |
| Castleview Physician Practices, LLC | Price, UT | $12K |
| Athens Physicians Practice LLC | Athens, TN | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.