Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VALLEY AREA PRIMARY CARE, LLC

NPI: 1508252685 · VALLEY, AL 36854 · Family Medicine Physician · NPI assigned 04/15/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRICE, SAMUEL controls 20+ related entities in our dataset. Read more

$502K
Total Medicaid Paid
15,001
Total Claims
13,052
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRICE, SAMUEL (CFO)
Parent OrganizationTHE EAST ALABAMA HEALTH CARE AUTHORITY
NPI Enumeration Date04/15/2015

Related Entities

Other providers sharing the same authorized official: PRICE, SAMUEL

ProviderCityStateTotal Paid
B. J. PRICE, INC DONIPHAN MO $12.49M
THE EAST ALABAMA HEALTH CARE AUTHORITY OPELIKA AL $6.19M
EAST ALABAMA EMS, LLC OPELIKA AL $2.58M
EAMC ER PHYSICIANS OPELIKA AL $2.55M
EAMC PHYSICIANS GROUP OPELIKA AL $1.07M
EAST ALABAMA PHYSICIANS, LLC OPELIKA AL $771K
PRIMARY MEDICINE ASSOCIATES, LLC AUBURN AL $650K
THE EAST ALABAMA HEALTH CARE AUTHORITY VALLEY AL $582K
EAST ALABAMA MATERNAL FETAL MEDICINE AUBURN AL $341K
EAST ALABAMA HEART AND VASCULAR, LLC OPELIKA AL $297K
REHABWORKS LLC OPELIKA AL $199K
EAST ALABAMA ORTHOPAEDICS AND SPORTS MEDICINE, LLC OPELIKA AL $158K
NEUROLOGY CENTER OF EAST ALABAMA, LLC OPELIKA AL $94K
EAST ALABAMA HEALTH SERVICES LLC OPELIKA AL $54K
UROLOGY ASSOCIATES OF EAST ALABAMA LLC OPELIKA AL $31K
VALLEY INTERNAL MEDICAL ASSOCIATES LLC VALLEY AL $15K
ENDOCRINOLOGY AND METABOLISM OF EAST ALABAMA LLC OPELIKA AL $2K
EAMC-LANIER AMBULATORY SURGERY CENTER, LLC VALLEY AL $2K
EAMC EYE CLINIC, LLC OPELIKA AL $0.00
THE EAST ALABAMA HEALTH CARE AUTHORITY OPELIKA AL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,412 $80K
2019 1,602 $53K
2020 1,085 $52K
2021 1,795 $73K
2022 2,885 $93K
2023 2,991 $94K
2024 2,231 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,209 7,914 $428K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,443 1,184 $43K
99232 Subsequent hospital care, per day, moderate complexity 414 332 $16K
99307 618 588 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 26 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 403 359 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 51 42 $2K
99239 Hospital discharge day management, more than 30 minutes 63 59 $1K
99222 Initial hospital care, per day, moderate complexity 22 21 $1K
83036 Hemoglobin; glycosylated (A1C) 201 167 $1K
90686 56 47 $599.28
99308 Subsequent nursing facility care, per day, straightforward 169 152 $464.49
82962 430 379 $458.15
99310 Prolong nursin fac eval 15m 43 38 $332.11
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 16 14 $316.44
99238 Hospital discharge day management, 30 minutes or less 14 13 $313.03
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 34 $280.00
36415 Collection of venous blood by venipuncture 122 106 $104.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $45.00
3079F 97 95 $0.00
3008F 916 872 $0.00
3074F 299 293 $0.00
G0008 Administration of influenza virus vaccine 63 62 $0.00
3075F 12 12 $0.00
99304 13 12 $0.00
3044F 15 14 $0.00
3080F 26 15 $0.00
3078F 151 147 $0.00
3077F 38 27 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 16 16 $0.00