Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Southeast Physician Network, P.C.

Southeast Physician Network, P.C. was paid $310K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 11043, — 49% of everything it billed.

33Billing provider infoSOUTHEAST PHYSICIAN NETWORK, P.C.
TUSCALOOSA, AL 35406
33aNPI1598090839assigned 10/05/2009
28Total paid$310K
24GClaims12,028
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Radiation Oncology Physician providers in Alabama

Rank by total paid#3 of 5
Median peer was paid$310K
This provider vs. median1.0×

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

$0$10K$20K2018201920202021202220232024
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
20182,864$76K
20193,881$93K
20202,200$68K
20211,124$16K
2022733$23K
2023530$12K
2024incomplete696$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11043 49% 2,462 1,084 $152K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session 14% 1,031 112 $43K
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 8.9% 1,469 916 $27K
77014 4.4% 679 78 $14K
11046 4.2% 1,620 185 $13K
77427 3.8% 593 221 $12K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.7% 216 169 $12K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3.1% 479 238 $10K
77336 2.7% 405 142 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.6% 980 628 $8K
11044 1.6% 56 25 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 447 262 $1K
18 more codes
77300 <1% 25 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 84 $956.62
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 52 $725.00
77263 <1% 20 $658.24
99223 Prolong inpt eval add15 m <1% 16 $565.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 40 $444.80
51798 <1% 90 $194.92
36415 Collection of venous blood by venipuncture <1% 217 $90.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 36 $63.21
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 33 $18.23
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 229 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 234 $0.00
4040F 0% 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 162 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 0% 44 $0.00
1036F 0% 140 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 140 $0.00
99232 Hospital visit by a doctor, follow-up day 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 officialSANFORD, SHELBY (PRESIDENT)