Eamc Physicians Group
Eamc Physicians Group was paid $1.07M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
OPELIKA, AL 36801
Next to other Emergency Medicine Physician providers in Alabama
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,340 | $65K | |
| 2019 | 2,228 | $71K | |
| 2020 | 1,025 | $42K | |
| 2021 | 3,478 | $157K | |
| 2022 | 2,802 | $149K | |
| 2023 | 5,544 | $327K | |
| 2024incomplete | 4,842 | $263K |
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 | 25% | 4,360 | 3,992 | $274K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 17% | 4,743 | 4,432 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 4,204 | 3,356 | $144K |
| 88307 | 9.9% | 2,075 | 1,872 | $106K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.8% | 618 | 603 | $73K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 1,594 | 406 | $55K |
| 99460 | 3.6% | 845 | 769 | $39K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 3.4% | 203 | 53 | $37K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.3% | 250 | 235 | $25K |
| 99205 | Prolong outpt/office vis | 2.3% | 158 | 152 | $25K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.0% | 198 | 187 | $22K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 486 | 448 | $21K |
23 more codes
| 99468 | 1.2% | 37 | $13K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.2% | 323 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 76 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 83 | $6K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 63 | $6K |
| 77427 | <1% | 83 | $5K | |
| 88141 | <1% | 255 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $4K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 54 | $3K |
| 99462 | <1% | 49 | $1K | |
| 95816 | <1% | 26 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 49 | $1K |
| 99243 | <1% | 17 | $774.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 29 | $744.03 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $546.75 |
| 95819 | <1% | 12 | $516.00 | |
| 88342 | <1% | 16 | $370.26 | |
| 88300 | <1% | 64 | $290.00 | |
| 88304 | <1% | 15 | $195.00 | |
| 3008F | 0% | 676 | $0.00 | |
| 3074F | 0% | 288 | $0.00 | |
| 3078F | 0% | 215 | $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% | 27 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| B. J. Price, INC | Doniphan, MO | $12.49M |
| The East Alabama Health Care Authority | Opelika, AL | $6.19M |
| East Alabama EMS, LLC | Opelika, AL | $2.58M |
| Eamc Er Physicians | Opelika, AL | $2.55M |
| East Alabama Physicians, LLC | Opelika, AL | $771K |
| Primary Medicine Associates, LLC | Auburn, AL | $650K |
| The East Alabama Health Care Authority | Valley, AL | $582K |
| Valley Area Primary Care, LLC | Valley, AL | $502K |
| East Alabama Maternal Fetal Medicine | Auburn, AL | $341K |
| East Alabama Heart and Vascular, LLC | Opelika, AL | $297K |
| Rehabworks LLC | Opelika, AL | $199K |
| East Alabama Orthopaedics and Sports Medicine, LLC | Opelika, AL | $158K |
| Neurology Center of East Alabama, LLC | Opelika, AL | $94K |
| East Alabama Health Services LLC | Opelika, AL | $54K |
| Urology Associates of East Alabama LLC | Opelika, AL | $31K |
| Valley Internal Medical Associates LLC | Valley, AL | $15K |
| Endocrinology and Metabolism of East Alabama LLC | Opelika, AL | $2K |
| Eamc-Lanier Ambulatory Surgery Center, LLC | Valley, AL | $2K |
| Eamc Eye Clinic, LLC | Opelika, AL | $0.00 |
| The East Alabama Health Care Authority | Opelika, AL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.