Physician
Tombigbee Healthcare Authority
Tombigbee Healthcare Authority was paid $123K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoTOMBIGBEE HEALTHCARE AUTHORITY
DEMOPOLIS, AL 36732
DEMOPOLIS, AL 36732
33aNPI1487011086assigned 01/27/2016
33bProvider typeFamily Medicine Physician
28Total paid$123K
24GClaims3,393
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#180 of 455
Median peer was paid$57K
This provider vs. median2.2×
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 | 117 | $7K | |
| 2019 | 92 | $6K | |
| 2020 | 1,247 | $18K | |
| 2021 | 36 | $2K | |
| 2022 | 846 | $43K | |
| 2023 | 861 | $37K | |
| 2024incomplete | 194 | $9K |
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 | 34% | 1,047 | 904 | $41K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32% | 607 | 569 | $40K |
| 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 | 15% | 472 | 367 | $18K |
| 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 | 14% | 258 | 188 | $17K |
| 99205 | Prolong outpt/office vis | 2.9% | 26 | 20 | $4K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 55 | 49 | $861.90 |
| 99223 | Prolong inpt eval add15 m | <1% | 20 | 12 | $833.13 |
| 93000 | <1% | 86 | 79 | $774.45 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 120 | 47 | $264.00 |
| 20610 | <1% | 15 | 12 | $224.92 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 61 | 48 | $124.30 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | 13 | $98.00 |
7 more codes
| 81002 | <1% | 15 | $30.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 33 | $2.96 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 105 | $0.00 |
| 3074F | 0% | 198 | $0.00 | |
| 3079F | 0% | 35 | $0.00 | |
| 3078F | 0% | 206 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 16 | $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 officialGANDY, DONNA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Tombigbee Healthcare Authority | Linden, AL | $379K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.