Medicaid Provider Spending

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

NPI: 1558781724 · HARTSELLE, AL 35640 · Internal Medicine Physician · NPI assigned 04/25/2014

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

Authorized official POWERS, KELLI controls 20+ related entities in our dataset. Read more

$195K
Total Medicaid Paid
6,125
Total Claims
5,072
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialPOWERS, KELLI (CEO)
Parent OrganizationDECATUR MORGAN HOSPITAL
NPI Enumeration Date04/25/2014

Related Entities

Other providers sharing the same authorized official: POWERS, KELLI

ProviderCityStateTotal Paid
HUNTSVILLE HOSPITAL PEDIATRIC HOSPITALISTS HUNTSVILLE AL $1.13M
HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE HUNTSVILLE AL $966K
HAZEL GREEN PEDIATRICS HAZEL GREEN AL $672K
HH TENNESSEE VALLEY PAIN CENTER HUNTSVILLE AL $436K
HH HEALTH SYSTEM - CARING FOR LIFE HUNTSVILLE AL $278K
DECATUR MORGAN PRIMARY CARE DECATUR AL $136K
HH OBSTETRICS & GYNECOLOGY HUNTSVILLE AL $74K
DECATUR MORGAN NEUROLOGY DECATUR AL $65K
DECATUR WOMENS HEALTHCARE DECATUR AL $58K
HARTSELLE FAMILY PRACTICE HARTSELLE AL $50K
HH PEDIATRIC ENDOCRINOLOGY & DIABETES HUNTSVILLE AL $48K
HUNTSVILLE HOSPITAL MEDICAL CLINIC AT HAMPTON CO OWENS CROSS ROADS AL $47K
PRICEVILLE PRIMARY CARE DECATUR AL $32K
TENNESSEE VALLEY GYNECOLOGIC ONCOLOGY ASSOCIATES HUNTSVILLE AL $18K
HUNTSVILLE HOSPITAL PALLIATIVE CARE SERVICES HUNTSVILLE AL $14K
TENNESSEE VALLEY PEDIATRIC SURGERY HUNTSVILLE AL $7K
HH PHYSICIAN CARE HAZEL GREEN HAZEL GREEN AL $3K
GI PARTNERS OF ALABAMA DECATUR AL $2K
HUNTSVILLE HOSPITAL INTERNAL MEDICINE HUNTSVILLE AL $356.96
DECATUR MORGAN MEDICAL CARE DECATUR AL $128.43

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 823 $23K
2019 1,362 $32K
2020 790 $22K
2021 968 $30K
2022 949 $35K
2023 880 $39K
2024 353 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,917 3,189 $161K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 330 295 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 575 502 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 481 425 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 29 24 $1K
90686 51 48 $870.76
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17 12 $840.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 30 28 $753.22
87807 38 30 $332.10
90688 17 15 $296.85
90670 17 12 $237.48
90460 Immunization administration through 18 years of age via any route, first or only component 426 381 $0.00
3078F 18 17 $0.00
90461 161 77 $0.00
3074F 18 17 $0.00