NP / PA
Falkville Medical Clinic, LLC
Falkville Medical Clinic, LLC was paid $2.11M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoFALKVILLE MEDICAL CLINIC, LLC
FALKVILLE, AL 35622
FALKVILLE, AL 35622
33aNPI1518301837assigned 04/18/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$2.11M
24GClaims33,934
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Alabama
Rank by total paid#3 of 130
Median peer was paid$0.00
This provider vs. median0.0×
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 | 2,469 | $172K | |
| 2019 | 3,536 | $198K | |
| 2020 | 2,157 | $151K | |
| 2021 | 5,091 | $310K | |
| 2022 | 7,050 | $416K | |
| 2023 | 7,750 | $448K | |
| 2024incomplete | 5,881 | $417K |
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 | 88% | 13,485 | 10,486 | $1.85M |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 2.9% | 295 | 273 | $61K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 344 | 289 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 9,102 | 7,624 | $43K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 1,462 | 1,355 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 2,514 | 1,274 | $27K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 1,750 | 1,634 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,141 | 950 | $12K |
| 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 | <1% | 1,810 | 1,617 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 163 | 149 | $793.92 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 401 | 371 | $696.91 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 656 | 620 | $585.94 |
8 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 244 | $580.88 |
| 36415 | Collection of venous blood by venipuncture | <1% | 310 | $534.10 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 79 | $531.51 |
| 81002 | <1% | 109 | $287.58 | |
| 90734 | <1% | 15 | $112.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $88.40 |
| 90651 | <1% | 12 | $88.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 26 | $26.76 |
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 officialGRAHAM, MICHELLE (VP OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Medical East of Decatur INC | Decatur, AL | $10.58M |
| Medical East of Decatur INC | Somerville, AL | $3.37M |
| Tanner Medical Clinic LLC | Tanner, AL | $2.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.