Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EAMC PHYSICIANS GROUP

NPI: 1598935637 · OPELIKA, AL 36801 · Emergency Medicine Physician · NPI assigned 03/05/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRICE, SAMUEL controls 20+ related entities in our dataset. Read more

$1.07M
Total Medicaid Paid
22,259
Total Claims
18,519
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRICE, SAMUEL (CFO)
Parent OrganizationTHE EAST ALABAMA HEALTHCARE AUTHORITY
NPI Enumeration Date03/05/2008

Related Entities

Other providers sharing the same authorized official: PRICE, SAMUEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,842 $263K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,360 3,992 $274K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,743 4,432 $188K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,204 3,356 $144K
88307 2,075 1,872 $106K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 618 603 $73K
99232 Subsequent hospital care, per day, moderate complexity 1,594 406 $55K
99460 845 769 $39K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 203 53 $37K
99244 Office or other outpatient consultation, moderate to high complexity 250 235 $25K
99205 Prolong outpt/office vis 158 152 $25K
95810 Polysomnography; sleep staging with 4 or more additional parameters 198 187 $22K
99238 Hospital discharge day management, 30 minutes or less 486 448 $21K
99468 37 25 $13K
99233 Prolong inpt eval add15 m 323 89 $13K
99222 Initial hospital care, per day, moderate complexity 76 66 $6K
99239 Hospital discharge day management, more than 30 minutes 83 68 $6K
99480 Subsequent intensive care, per day, low birth weight infant 63 28 $6K
77427 83 26 $5K
88141 255 239 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 55 46 $4K
99479 Subsequent intensive care, per day, very low birth weight infant 54 13 $3K
99462 49 43 $1K
95816 26 26 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 49 39 $1K
99243 17 16 $774.00
99231 Subsequent hospital care, per day, straightforward or low complexity 29 12 $744.03
99215 Prolong outpt/office vis 13 12 $546.75
95819 12 12 $516.00
88342 16 16 $370.26
88300 64 64 $290.00
88304 15 13 $195.00
3008F 676 647 $0.00
3074F 288 281 $0.00
3078F 215 208 $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) 27 25 $0.00