Clinic
Escambia Community Clinics INC
Escambia Community Clinics INC was paid $11.81M by Medicaid between Jan 2018 and Dec 2024, across 164 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoESCAMBIA COMMUNITY CLINICS INC
PENSACOLA, FL 32501
PENSACOLA, FL 32501
33aNPI1497020549assigned 03/21/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.81M
24GClaims582,079
24DCodes billed164
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#2 of 293
Median peer was paid$114K
This provider vs. median104×
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 SMILEY, CHANDRA controls 16+ 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 | 5,368 | $40K | |
| 2019 | 92,487 | $1.72M | |
| 2020 | 100,151 | $1.95M | |
| 2021 | 95,057 | $2.31M | |
| 2022 | 121,410 | $2.17M | |
| 2023 | 94,894 | $1.08M | |
| 2024incomplete | 72,712 | $2.54M |
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% | 116,494 | 103,810 | $4.23M |
| 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 | 20% | 72,316 | 64,430 | $2.41M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 9.6% | 15,664 | 10,948 | $1.14M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 20,033 | 19,431 | $1.12M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 16,307 | 15,396 | $942K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 14,346 | 13,860 | $650K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 9,515 | 8,705 | $286K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 46,964 | 44,177 | $242K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 4,737 | 4,583 | $223K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 2,017 | 1,971 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,604 | 1,552 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 2,207 | 2,151 | $52K |
152 more codes
| D1110 | Prophylaxis - adult | <1% | 989 | $39K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 841 | $38K |
| H1000 | Prenatal care, at-risk assessment | <1% | 793 | $30K |
| D0274 | Bitewings - four radiographic images | <1% | 1,279 | $29K |
| 99381 | <1% | 320 | $18K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 728 | $16K |
| G0467 | Community health center visit, returning patient | <1% | 10,278 | $14K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 188 | $12K |
| D1351 | Sealant - per tooth | <1% | 980 | $12K |
| D1330 | <1% | 3,716 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 178 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 444 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 259 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,677 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 127 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 1,938 | $8K |
| 99383 | <1% | 96 | $6K | |
| 99188 | <1% | 9,328 | $6K | |
| 72110 | <1% | 485 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 745 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 377 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 21,635 | $5K |
| 90671 | <1% | 2,336 | $5K | |
| 91300 | <1% | 274 | $4K | |
| 98940 | <1% | 183 | $4K | |
| 90686 | <1% | 9,039 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 36 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 107 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 93 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 646 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 634 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,587 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,281 | $2K |
| 92250 | <1% | 161 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 41 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 7,862 | $2K |
| 91301 | <1% | 98 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,038 | $2K |
| 96127 | <1% | 4,692 | $2K | |
| 0002A | <1% | 128 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 203 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 360 | $1K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 19,958 | $1K |
| 0001A | <1% | 147 | $1K | |
| 73560 | <1% | 213 | $1K | |
| 0012A | <1% | 63 | $1K | |
| 99384 | <1% | 46 | $1K | |
| 72050 | <1% | 80 | $1K | |
| 3078F | <1% | 8,097 | $946.07 | |
| 81025 | <1% | 2,285 | $861.79 | |
| 90723 | <1% | 2,362 | $819.54 | |
| 3079F | <1% | 6,499 | $756.78 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 44 | $747.74 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 614 | $738.14 |
| 81003 | <1% | 4,371 | $673.99 | |
| 3074F | <1% | 10,753 | $574.62 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 651 | $556.92 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,482 | $513.51 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 12 | $509.08 |
| D0270 | <1% | 50 | $469.84 | |
| 0011A | <1% | 33 | $465.22 | |
| 90647 | <1% | 2,352 | $403.94 | |
| 90633 | <1% | 4,236 | $393.26 | |
| 91303 | <1% | 16 | $360.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 216 | $350.22 |
| D1206 | Topical application of fluoride varnish | <1% | 3,076 | $341.54 |
| G0008 | Administration of influenza virus vaccine | <1% | 205 | $329.18 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 8,667 | $304.34 |
| 1125F | <1% | 3,551 | $291.78 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 42 | $262.08 |
| 90651 | <1% | 1,553 | $257.47 | |
| 87808 | <1% | 464 | $243.63 | |
| 90670 | <1% | 9,505 | $231.01 | |
| 87905 | <1% | 517 | $224.31 | |
| 3044F | <1% | 112 | $216.26 | |
| 0031A | <1% | 16 | $200.00 | |
| 80305 | <1% | 320 | $191.98 | |
| 3077F | <1% | 3,538 | $162.34 | |
| 99051 | <1% | 833 | $118.74 | |
| 83655 | <1% | 458 | $116.32 | |
| 3008F | <1% | 8,382 | $115.51 | |
| 3080F | <1% | 1,756 | $105.83 | |
| 90710 | <1% | 1,245 | $100.89 | |
| 90744 | <1% | 1,186 | $89.22 | |
| 87210 | <1% | 1,009 | $84.20 | |
| 92015 | Determination of refractive state | <1% | 123 | $75.76 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 14 | $74.92 |
| 90656 | <1% | 221 | $67.05 | |
| 90696 | <1% | 233 | $63.05 | |
| 90474 | <1% | 59 | $61.00 | |
| 99406 | <1% | 430 | $46.14 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 332 | $40.67 |
| 82962 | <1% | 871 | $38.55 | |
| 3075F | <1% | 1,473 | $37.83 | |
| 90698 | <1% | 2,421 | $37.83 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 513 | $36.00 |
| 85018 | <1% | 693 | $35.39 | |
| 90621 | <1% | 545 | $33.22 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 17 | $19.63 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 341 | $12.61 |
| 1000F | <1% | 1,929 | $12.61 | |
| 92551 | <1% | 3,316 | $12.61 | |
| 86703 | <1% | 56 | $9.17 | |
| 90715 | <1% | 173 | $8.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 8,597 | $0.98 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 325 | $0.11 |
| 90697 | <1% | 2,362 | $0.01 | |
| 96161 | 0% | 1,931 | $0.00 | |
| 90680 | 0% | 3,870 | $0.00 | |
| 1126F | 0% | 4,290 | $0.00 | |
| 1170F | 0% | 745 | $0.00 | |
| 99174 | 0% | 1,200 | $0.00 | |
| 1030F | 0% | 256 | $0.00 | |
| 87807 | 0% | 192 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 212 | $0.00 |
| 1005F | 0% | 43 | $0.00 | |
| 0501F | 0% | 46 | $0.00 | |
| 90674 | 0% | 53 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 464 | $0.00 |
| 0500F | 0% | 46 | $0.00 | |
| 94760 | 0% | 71 | $0.00 | |
| 90619 | 0% | 167 | $0.00 | |
| 91307 | 0% | 15 | $0.00 | |
| 90620 | 0% | 143 | $0.00 | |
| D0603 | 0% | 47 | $0.00 | |
| 1022F | 0% | 167 | $0.00 | |
| 90716 | 0% | 42 | $0.00 | |
| D0602 | 0% | 19 | $0.00 | |
| 4010F | 0% | 13 | $0.00 | |
| 91306 | 0% | 13 | $0.00 | |
| 88720 | 0% | 27 | $0.00 | |
| D0601 | 0% | 42 | $0.00 | |
| 99177 | 0% | 9,421 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 28 | $0.00 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 215 | $0.00 |
| 1159F | 0% | 263 | $0.00 | |
| 1160F | 0% | 711 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 28 | $0.00 |
| 3725F | 0% | 631 | $0.00 | |
| 90734 | 0% | 306 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 313 | $0.00 |
| 2014F | 0% | 229 | $0.00 | |
| 96160 | 0% | 125 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 14 | $0.00 |
| 90707 | 0% | 66 | $0.00 | |
| 2022F | 0% | 14 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90756 | 0% | 14 | $0.00 | |
| 0502F | 0% | 46 | $0.00 | |
| 90700 | 0% | 40 | $0.00 | |
| 1003F | 0% | 14 | $0.00 | |
| 90461 | 0% | 12 | $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 officialSMILEY, CHANDRA (EXECUTIVE DIRECTOR)
Parent organizationESCAMBIA COMMUNITY CLINICS INC
| Provider | Location | Paid |
|---|---|---|
| Escambia Community Clinics INC | Pensacola, FL | $1.94M |
| Escambia Community Clinics, INC | Pensacola, FL | $1.60M |
| Escambia Community Clinics INC | Cantonment, FL | $367K |
| Escambia Community Clinics INC | Pensacola, FL | $190K |
| Escambia Community Clinics INC | Cantonment, FL | $73K |
| Escambia Community Clinics, INC | Milton, FL | $29K |
| Escambia Community Clinics INC | Pensacola, FL | $12K |
| Escambia Community Clinics, INC | Pensacola, FL | $3K |
| Escambia Community Clinics, INC | Pensacola, FL | $3K |
| Escambia Community Clinics INC | Pensacola, FL | $2K |
| Escambia Community Clinics, INC | Pensacola, FL | $2K |
| Escambia Community Clinics INC | Century, FL | $1K |
| Escambia Community Clinics INC | Pensacola, FL | $1K |
| Escambia Community Clinics INC | Century, FL | $294.84 |
| Escambia Community Clinics INC | Pace, FL | $182.79 |
| Escambia Community Clinics INC | Pensacola, FL | $29.19 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.