Clinic
Monroe County Health Care Authority
Monroe County Health Care Authority was paid $1.64M by Medicaid between Oct 2020 and Nov 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoMONROE COUNTY HEALTH CARE AUTHORITY
MONROEVILLE, AL 36460
MONROEVILLE, AL 36460
33aNPI1558826743assigned 02/01/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.64M
24GClaims33,346
24DCodes billed30
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#29 of 80
Median peer was paid$818K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 678 | $26K | |
| 2021 | 8,827 | $331K | |
| 2022 | 11,887 | $547K | |
| 2023 | 8,380 | $485K | |
| 2024incomplete | 3,574 | $254K |
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 | 98% | 16,844 | 12,574 | $1.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 7,482 | 6,032 | $16K |
| 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% | 2,606 | 2,205 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 999 | 887 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 452 | 420 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 719 | 652 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 678 | 641 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 484 | 410 | $1K |
| 90670 | <1% | 139 | 137 | $904.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 821 | 772 | $900.72 |
| 87428 | <1% | 84 | 79 | $801.15 | |
| 90680 | <1% | 51 | 51 | $408.00 |
18 more codes
| 90686 | <1% | 67 | $380.00 | |
| 92551 | <1% | 288 | $337.25 | |
| 90633 | <1% | 34 | $248.00 | |
| 90698 | <1% | 28 | $224.00 | |
| 90648 | <1% | 28 | $224.00 | |
| 87807 | <1% | 221 | $222.40 | |
| 90651 | <1% | 26 | $144.00 | |
| 90716 | <1% | 12 | $96.00 | |
| 90707 | <1% | 12 | $96.00 | |
| 99173 | <1% | 333 | $42.80 | |
| 83655 | <1% | 30 | $24.70 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $11.90 |
| 81003 | <1% | 659 | $10.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 125 | $5.45 |
| 85018 | <1% | 50 | $2.42 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 29 | $0.00 |
| 36416 | 0% | 16 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 16 | $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.
From NPPES
Who's on the registration
Authorized officialWIGGINS, JUNE (BO,. RCM, HIM DIRECTOR)