Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Tombigbee Healthcare Authority

Tombigbee Healthcare Authority was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99284, emergency room visit (serious) — 78% of everything it billed.

33Billing provider infoTOMBIGBEE HEALTHCARE AUTHORITY
DEMOPOLIS, AL 36732
33aNPI1578690327assigned 02/28/2007
33bProvider typeSpecialist
28Total paid$1.30M
24GClaims43,892
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Alabama

Rank by total paid#15 of 162
Median peer was paid$49K
This provider vs. median26×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20187,570$209K
20197,740$230K
20204,689$147K
20215,886$195K
20225,020$208K
20234,456$210K
2024incomplete8,531$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 78% 22,370 20,707 $1.02M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.6% 4,092 3,603 $99K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.7% 4,129 721 $74K
90792 Psychiatric diagnostic evaluation with medical services 2.2% 690 626 $28K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.4% 405 167 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.0% 2,912 2,711 $14K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 400 189 $12K
99238 Hospital discharge day management, 30 minutes or less <1% 268 236 $8K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 312 285 $6K
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% 387 292 $5K
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% 460 356 $5K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life <1% 63 49 $3K
33 more codes
99239 Hospital discharge day management, more than 30 minutes <1% 47 $3K
71046 Radiologic examination, chest; 2 views <1% 513 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,674 $2K
70450 Computed tomography, head or brain; without contrast material <1% 41 $683.56
77067 Screening mammography, bilateral, including computer-aided detection <1% 48 $591.08
99222 Initial hospital care, per day, moderate complexity <1% 13 $572.04
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 187 $444.02
00142 <1% 16 $421.72
71045 Radiologic examination, chest; single view <1% 318 $381.06
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 53 $359.64
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 13 $179.01
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,554 $145.70
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 192 $13.45
36415 Collection of venous blood by venipuncture <1% 80 $2.00
81001 0% 312 $0.00
87430 0% 123 $0.00
87070 0% 128 $0.00
87086 Culture, bacterial; quantitative colony count, urine 0% 29 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 69 $0.00
80053 Comprehensive metabolic panel 0% 505 $0.00
3074F 0% 124 $0.00
83690 0% 32 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 21 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 19 $0.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 0% 16 $0.00
3078F 0% 103 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 0% 448 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 504 $0.00
86756 0% 80 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 0% 64 $0.00
99203 Doctor's office visit, new patient (routine) 0% 41 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 19 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 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.

From NPPES

Who's on the registration

Authorized officialBREWER, DOUGLAS (CEO ADMINISTRATOR)
Same official

Other billing entities under BREWER, DOUGLAS

Full network →
ProviderLocationPaid
Tombigbee Healthcare AuthorityDemopolis, AL$1.50M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.