Clinic
Emedical Group INC
Emedical Group INC was paid $5.84M by Medicaid between Jan 2018 and Oct 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoEMEDICAL GROUP INC
TROY, AL 36081
TROY, AL 36081
33aNPI1457644742assigned 05/19/2011
33bProvider typeHealth Service Clinic/Center
28Total paid$5.84M
24GClaims171,407
24DCodes billed58
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Alabama
Rank by total paid#2 of 13
Median peer was paid$210K
This provider vs. median28×
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 | 21,380 | $731K | |
| 2019 | 22,298 | $746K | |
| 2020 | 17,761 | $659K | |
| 2021 | 30,256 | $1.11M | |
| 2022 | 35,981 | $1.25M | |
| 2023 | 31,706 | $1.05M | |
| 2024incomplete | 12,025 | $293K |
Box 24 · Service lines
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 | 36% | 30,866 | 24,569 | $2.08M |
| 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 | 21% | 12,096 | 11,219 | $1.20M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.2% | 17,099 | 15,788 | $364K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 5.9% | 6,282 | 5,735 | $345K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.7% | 10,640 | 9,491 | $275K |
| 87430 | 3.9% | 17,079 | 15,788 | $229K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 2,388 | 2,353 | $161K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 2,170 | 2,149 | $149K |
| Q3014 | Telehealth originating site facility fee | 2.3% | 6,784 | 5,904 | $133K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 1,935 | 1,889 | $132K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.2% | 7,908 | 7,028 | $128K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,402 | 1,389 | $95K |
46 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,681 | $56K |
| 94664 | <1% | 4,825 | $47K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 452 | $42K |
| 90670 | <1% | 1,567 | $30K | |
| 83655 | <1% | 1,799 | $27K | |
| 96127 | <1% | 7,207 | $25K | |
| 94010 | <1% | 1,073 | $25K | |
| 99173 | <1% | 5,108 | $24K | |
| 90698 | <1% | 1,211 | $23K | |
| 90686 | <1% | 1,207 | $23K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 1,630 | $20K |
| 92551 | <1% | 4,285 | $20K | |
| 90680 | <1% | 960 | $18K | |
| 81003 | <1% | 6,134 | $18K | |
| D1206 | Topical application of fluoride varnish | <1% | 988 | $17K |
| 90744 | <1% | 772 | $15K | |
| 90688 | <1% | 672 | $13K | |
| 90716 | <1% | 637 | $12K | |
| 90707 | <1% | 628 | $12K | |
| 90734 | <1% | 489 | $9K | |
| 99000 | <1% | 2,768 | $9K | |
| 90651 | <1% | 451 | $9K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 627 | $8K |
| 90649 | <1% | 376 | $7K | |
| 90633 | <1% | 330 | $6K | |
| 90621 | <1% | 274 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 136 | $5K |
| 90715 | <1% | 201 | $4K | |
| 90677 | <1% | 136 | $3K | |
| 90648 | <1% | 130 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 76 | $2K |
| 36416 | <1% | 898 | $2K | |
| 90700 | <1% | 101 | $2K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 295 | $2K |
| 90696 | <1% | 69 | $1K | |
| 0001A | <1% | 33 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 108 | $898.65 |
| 0011A | <1% | 19 | $680.00 | |
| 0012A | <1% | 14 | $560.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 286 | $556.00 |
| 90461 | <1% | 13 | $507.00 | |
| 90671 | <1% | 26 | $494.75 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $306.00 |
| 90647 | <1% | 13 | $257.27 | |
| 87807 | <1% | 26 | $255.76 | |
| 81025 | <1% | 12 | $36.00 |
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 officialBERNARDO, MARIA (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Emedical Group INC | Troy, AL | $71K |
| Maria Pilar Bernardo DDS INC | Los Angeles, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.