Monroe County Health Care Authority

Monroe County Health Care Authority was paid $1.84M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99284, emergency room visit (serious) — 34% of everything it billed.

33Billing provider infoMONROE COUNTY HEALTH CARE AUTHORITY
MONROEVILLE, AL 36460

33aNPI1457392904assigned 06/08/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$1.84M

24GClaims66,049

24DCodes billed59

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in Alabama

Rank by total paid#32 of 77

Median peer was paid$1.13M

This provider vs. median1.6×

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	11,708	$246K
2019	9,881	$231K
2020	6,663	$150K
2021	9,932	$265K
2022	10,470	$329K
2023	10,357	$351K
2024incomplete	7,038	$270K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	34%	10,338	9,362	$629K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	30%	13,251	12,333	$551K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	6.9%	1,170	1,100	$128K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	4.3%	420	354	$79K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	3.9%	1,798	1,700	$71K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.4%	6,448	5,048	$45K
80053	Comprehensive metabolic panel	2.1%	4,257	3,494	$38K
G2024	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source	1.9%	1,971	1,869	$35K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.9%	3,180	2,914	$35K
87631		1.9%	452	432	$34K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.7%	2,264	2,060	$31K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.6%	764	734	$30K

47 more codes

99282	Emergency department visit for the evaluation and management, low to moderate severity	1.1%	417	$21K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.1%	4,040	$21K
87081		<1%	1,881	$16K
71045	Radiologic examination, chest; single view	<1%	2,810	$14K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	443	$14K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	1,023	$8K
81001		<1%	2,048	$7K
G0378	Hospital observation service, per hour	<1%	26	$7K
99222	Initial hospital care, per day, moderate complexity	<1%	45	$3K
87420		<1%	231	$3K
80306		<1%	348	$3K
83690		<1%	623	$3K
82150		<1%	570	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	42	$2K
82553		<1%	258	$2K
87086	Culture, bacterial; quantitative colony count, urine	<1%	114	$1K
82550		<1%	263	$1K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	896	$1K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	525	$795.56
J3410	Injection, hydroxyzine hcl, up to 25 mg	<1%	70	$793.94
83880		<1%	38	$762.14
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	33	$758.43
84484		<1%	133	$721.76
71046	Radiologic examination, chest; 2 views	<1%	78	$623.73
99214	Doctor's office visit, returning patient (more involved)	<1%	24	$603.82
81025		<1%	151	$496.33
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	117	$458.87
83735		<1%	49	$369.28
74022		<1%	13	$253.70
84443	Thyroid stimulating hormone (TSH)	<1%	14	$223.08
81003		<1%	41	$134.54
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	153	$84.50
85610		<1%	54	$75.01
86592		<1%	13	$72.72
86850		<1%	13	$72.33
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,106	$49.75
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	171	$39.36
85730		<1%	40	$32.12
86900		<1%	12	$29.61
86901		<1%	12	$29.34
J7120	Ringers lactate infusion, up to 1000 cc	<1%	14	$27.61
99213	Doctor's office visit, returning patient (routine)	0%	215	$0.00
36415	Collection of venous blood by venipuncture	0%	385	$0.00
96361	Intravenous infusion, hydration; each additional hour	0%	74	$0.00
90677		0%	13	$0.00
J7030	Infusion, normal saline solution , 1000 cc	0%	61	$0.00
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	0%	36	$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 officialGRIFFIN, GLENDA (IT SPECIALIST)