Clinic
Isbell Medical Group, P.C.
Isbell Medical Group, P.C. was paid $8.53M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoISBELL MEDICAL GROUP, P.C.
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
33aNPI1457411043assigned 12/12/2006
33bProvider typeRural Health Clinic/Center
28Total paid$8.53M
24GClaims244,372
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#2 of 80
Median peer was paid$818K
This provider vs. median10×
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 | 31,781 | $786K | |
| 2019 | 50,407 | $1.30M | |
| 2020 | 30,457 | $1.08M | |
| 2021 | 34,918 | $1.42M | |
| 2022 | 35,682 | $1.48M | |
| 2023 | 33,599 | $1.44M | |
| 2024incomplete | 27,528 | $1.02M |
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 | 60% | 64,569 | 51,690 | $5.11M |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 10% | 598 | 537 | $879K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 58,396 | 48,978 | $839K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.9% | 5,833 | 5,317 | $159K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 9,361 | 6,361 | $131K |
| G9357 | Post-partum screenings, evaluations and education performed | 1.4% | 1,160 | 1,045 | $120K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 9,388 | 8,504 | $115K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.3% | 2,570 | 2,152 | $114K |
| H1000 | Prenatal care, at-risk assessment | 1.2% | 1,553 | 875 | $99K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,138 | 1,034 | $77K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 179 | 174 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,298 | 4,996 | $60K |
58 more codes
| 76801 | <1% | 1,434 | $56K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,245 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,949 | $48K |
| 90700 | <1% | 5,041 | $47K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 803 | $45K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,222 | $40K |
| 90648 | <1% | 3,886 | $35K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,040 | $35K |
| 90713 | <1% | 3,839 | $34K | |
| 90688 | <1% | 3,373 | $33K | |
| 90670 | <1% | 3,059 | $29K | |
| 54150 | <1% | 176 | $28K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 443 | $24K |
| 90680 | <1% | 2,459 | $20K | |
| 90633 | <1% | 1,955 | $16K | |
| 87510 | <1% | 768 | $14K | |
| 87480 | <1% | 768 | $14K | |
| 90744 | <1% | 1,645 | $14K | |
| 90716 | <1% | 1,558 | $13K | |
| 90707 | <1% | 1,548 | $13K | |
| 87797 | <1% | 644 | $12K | |
| 90687 | <1% | 1,227 | $12K | |
| 81025 | <1% | 4,761 | $11K | |
| 90651 | <1% | 1,230 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,235 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 857 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 359 | $8K |
| 99460 | <1% | 302 | $8K | |
| 92551 | <1% | 2,067 | $7K | |
| 90671 | <1% | 922 | $7K | |
| 90461 | <1% | 102 | $5K | |
| 90734 | <1% | 634 | $5K | |
| 90715 | <1% | 401 | $5K | |
| 87420 | <1% | 316 | $4K | |
| 90619 | <1% | 455 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 140 | $3K |
| 90620 | <1% | 444 | $3K | |
| 99173 | <1% | 952 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 141 | $3K |
| 90661 | <1% | 512 | $3K | |
| 59426 | <1% | 174 | $2K | |
| 81003 | <1% | 921 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 389 | $2K |
| 87660 | <1% | 88 | $2K | |
| 90672 | <1% | 181 | $1K | |
| 36416 | <1% | 582 | $1K | |
| 99462 | <1% | 84 | $1K | |
| 85018 | <1% | 447 | $1K | |
| 96160 | <1% | 359 | $870.24 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 139 | $658.00 |
| 86677 | <1% | 12 | $198.00 | |
| 86308 | <1% | 27 | $150.00 | |
| 90381 | <1% | 16 | $128.00 | |
| 81002 | <1% | 5,462 | $6.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 43 | $0.00 |
| 01960 | 0% | 89 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 5,326 | $0.00 |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 0% | 78 | $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 officialISBELL, JOHN (PRESIDENT)