Houston County Healthcare Authority
Houston County Healthcare Authority was paid $9.58M by Medicaid between Jan 2018 and Dec 2024, across 131 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
DOTHAN, AL 36301
Next to other Physician Assistant providers in Alabama
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31,542 | $985K | |
| 2019 | 38,518 | $1.19M | |
| 2020 | 30,603 | $1.03M | |
| 2021 | 48,693 | $1.62M | |
| 2022 | 43,869 | $1.64M | |
| 2023 | 47,755 | $1.74M | |
| 2024incomplete | 37,820 | $1.38M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 34,346 | 31,040 | $2.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 40,947 | 37,215 | $2.30M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 9,748 | 9,164 | $647K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 8,122 | 7,756 | $523K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.7% | 7,779 | 7,184 | $353K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.5% | 11,462 | 10,805 | $331K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.4% | 4,221 | 3,841 | $234K |
| 99460 | 2.4% | 2,759 | 2,593 | $234K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 3,480 | 3,374 | $212K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 3,029 | 2,842 | $191K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 8,593 | 3,028 | $187K |
| 87428 | 1.6% | 3,104 | 3,017 | $150K |
119 more codes
| 90670 | 1.2% | 6,042 | $116K | |
| 99223 | Prolong inpt eval add15 m | 1.1% | 1,702 | $110K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 8,021 | $104K |
| 90723 | 1.0% | 5,096 | $96K | |
| 90647 | <1% | 4,752 | $89K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 4,620 | $82K |
| 54150 | <1% | 515 | $78K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,219 | $72K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 18,965 | $67K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,114 | $66K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 877 | $64K |
| 90686 | <1% | 3,260 | $61K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,288 | $59K |
| 90681 | <1% | 2,451 | $46K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 3,101 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,202 | $45K |
| 99461 | <1% | 460 | $41K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,932 | $40K |
| 99462 | <1% | 988 | $38K | |
| 90633 | <1% | 1,978 | $38K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,488 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,027 | $31K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,384 | $31K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,050 | $26K |
| 0001A | <1% | 1,407 | $25K | |
| 0002A | <1% | 1,191 | $24K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 831 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 493 | $21K |
| 90461 | <1% | 370 | $21K | |
| 90677 | <1% | 941 | $17K | |
| 99173 | <1% | 3,484 | $16K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 283 | $14K |
| 80053 | Comprehensive metabolic panel | <1% | 1,749 | $13K |
| 87807 | <1% | 1,130 | $11K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 173 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 114 | $10K |
| 90710 | <1% | 389 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 799 | $7K |
| 90656 | <1% | 364 | $7K | |
| 92551 | <1% | 1,695 | $7K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 121 | $6K |
| 82728 | <1% | 405 | $5K | |
| 96161 | <1% | 1,778 | $5K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 210 | $5K |
| 96127 | <1% | 1,381 | $4K | |
| 90687 | <1% | 219 | $4K | |
| 93000 | <1% | 398 | $4K | |
| 90700 | <1% | 187 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 43 | $3K |
| 90651 | <1% | 160 | $3K | |
| 90688 | <1% | 175 | $3K | |
| 83655 | <1% | 192 | $3K | |
| 31500 | <1% | 38 | $2K | |
| 90716 | <1% | 127 | $2K | |
| 90707 | <1% | 121 | $2K | |
| 90674 | <1% | 113 | $2K | |
| 80061 | Lipid panel | <1% | 157 | $2K |
| 95816 | <1% | 98 | $2K | |
| 87400 | <1% | 160 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 107 | $2K |
| 82962 | <1% | 830 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 78 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 387 | $2K |
| 90734 | <1% | 80 | $2K | |
| 0003A | <1% | 41 | $1K | |
| 99254 | <1% | 13 | $1K | |
| 90696 | <1% | 63 | $1K | |
| 90732 | <1% | 19 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 38 | $1K |
| 00731 | <1% | 25 | $995.16 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 38 | $954.52 |
| 81003 | <1% | 896 | $954.45 | |
| 90648 | <1% | 56 | $949.92 | |
| 81002 | <1% | 372 | $798.52 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 87 | $771.83 |
| 93990 | <1% | 12 | $713.55 | |
| 00902 | <1% | 12 | $676.59 | |
| 69210 | <1% | 23 | $648.00 | |
| 81000 | <1% | 329 | $455.55 | |
| 84439 | <1% | 39 | $342.00 | |
| 90715 | <1% | 14 | $277.06 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 105 | $254.27 |
| 90620 | <1% | 12 | $237.48 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 29 | $194.55 |
| 82570 | <1% | 25 | $139.05 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $86.40 |
| 85018 | <1% | 360 | $72.00 | |
| 85014 | <1% | 360 | $72.00 | |
| 82044 | <1% | 25 | $69.48 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $53.79 |
| 51798 | <1% | 12 | $46.64 | |
| 3008F | 0% | 12,922 | $0.00 | |
| 3074F | 0% | 5,500 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 442 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,272 | $0.00 |
| 3079F | 0% | 2,580 | $0.00 | |
| 4010F | 0% | 240 | $0.00 | |
| 3044F | 0% | 503 | $0.00 | |
| 1101F | 0% | 1,448 | $0.00 | |
| 3075F | 0% | 365 | $0.00 | |
| 3080F | 0% | 610 | $0.00 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | 0% | 106 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 196 | $0.00 |
| 3725F | 0% | 1,306 | $0.00 | |
| 3078F | 0% | 3,740 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 111 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 288 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 28 | $0.00 |
| 3077F | 0% | 823 | $0.00 | |
| 1090F | 0% | 168 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 400 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 86 | $0.00 |
| 1124F | 0% | 180 | $0.00 | |
| 3288F | 0% | 192 | $0.00 | |
| 1159F | 0% | 69 | $0.00 | |
| 1160F | 0% | 51 | $0.00 | |
| 1033F | 0% | 13 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 14 | $0.00 |
| 4013F | 0% | 18 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.