Wiregrass Clinic LLC
Wiregrass Clinic LLC was paid $697K by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 22% of everything it billed.
DOTHAN, AL 36305
Next to other Anesthesiology Physician 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 | 10,343 | $178K | |
| 2019 | 8,646 | $167K | |
| 2020 | 4,048 | $119K | |
| 2021 | 4,177 | $51K | |
| 2022 | 3,515 | $61K | |
| 2023 | 5,763 | $84K | |
| 2024incomplete | 3,068 | $37K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 22% | 1,487 | 1,409 | $154K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 7,702 | 5,219 | $120K |
| 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% | 4,327 | 2,909 | $105K |
| 99238 | Hospital discharge day management, 30 minutes or less | 12% | 1,740 | 1,681 | $85K |
| 99460 | 6.7% | 1,029 | 957 | $47K | |
| 54150 | 5.6% | 266 | 236 | $39K | |
| 99462 | 5.1% | 1,375 | 1,087 | $36K | |
| 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 | 3.0% | 953 | 618 | $21K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.0% | 1,019 | 499 | $21K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.6% | 4,250 | 2,822 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 869 | 223 | $15K |
| 95886 | 1.4% | 342 | 270 | $10K |
39 more codes
| 64405 | <1% | 180 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 39 | $3K |
| 95819 | <1% | 92 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 58 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 349 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 145 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 205 | $1K |
| 90688 | <1% | 180 | $1K | |
| 95911 | <1% | 18 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,331 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 43 | $1K |
| 95909 | <1% | 13 | $958.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 183 | $880.00 |
| 81003 | <1% | 493 | $753.52 | |
| 95816 | <1% | 23 | $422.90 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 56 | $407.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 34 | $406.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 128 | $370.00 |
| 82962 | <1% | 290 | $342.43 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23 | $168.03 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 467 | $157.34 |
| 76937 | <1% | 63 | $132.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 46 | $129.80 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 57 | $64.65 |
| 3078F | 0% | 1,418 | $0.00 | |
| 3077F | 0% | 369 | $0.00 | |
| 1159F | 0% | 249 | $0.00 | |
| 1160F | 0% | 485 | $0.00 | |
| 1036F | 0% | 2,278 | $0.00 | |
| 3074F | 0% | 1,640 | $0.00 | |
| 3008F | 0% | 2,113 | $0.00 | |
| 3079F | 0% | 597 | $0.00 | |
| 1034F | 0% | 150 | $0.00 | |
| 3075F | 0% | 148 | $0.00 | |
| 3080F | 0% | 92 | $0.00 | |
| 99000 | 0% | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 80 | $0.00 |
| 1125F | 0% | 28 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 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
| Provider | Location | Paid |
|---|---|---|
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| Shelbyville Clinic Corp | Shelbyville, TN | $512K |
| Franklin Clinic Corp | Franklin, VA | $369K |
| Town of Sharon | Sharon, MA | $348K |
| Clarksdale Hma Physician Management LLC | Clarksdale, MS | $247K |
| Lake Shore Hma Medical Group LLC | Lake City, FL | $193K |
| Campbell County Hma, LLC | La Follette, TN | $186K |
| Crossgates Hma Medical Group LLC | Brandon, MS | $183K |
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.