Physician
Elberta Clinic, PC
Elberta Clinic, PC was paid $60K by Medicaid between Jan 2018 and Aug 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoELBERTA CLINIC, PC
ELBERTA, AL 36530
ELBERTA, AL 36530
33aNPI1588752844assigned 10/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$60K
24GClaims1,392
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in Alabama
Rank by total paid#89 of 225
Median peer was paid$17K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2018 | 379 | $22K | |
| 2019 | 477 | $18K | |
| 2020 | 123 | $5K | |
| 2021 | 54 | $3K | |
| 2022 | 157 | $7K | |
| 2023 | 119 | $3K | |
| 2024incomplete | 83 | $2K |
Box 24 · Service lines
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 | 63% | 552 | 508 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 387 | 348 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 48 | 46 | $2K |
| 87428 | 2.1% | 26 | 26 | $1K | |
| 99173 | <1% | 114 | 110 | $440.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 16 | 15 | $405.58 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | 12 | $264.00 |
| 92551 | <1% | 12 | 12 | $48.00 | |
| 1111F | 0% | 46 | 39 | $0.00 | |
| 3074F | 0% | 72 | 63 | $0.00 | |
| 1036F | 0% | 18 | 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% | 12 | 12 | $0.00 |
3 more codes
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 officialKURTTS, TERRY (OWNER)