Physician
Foley Clinic Corp
Foley Clinic Corp was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoFOLEY CLINIC CORP
GULF SHORES, AL 36542
GULF SHORES, AL 36542
33aNPI1629027826assigned 05/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$2.01M
24GClaims72,017
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Alabama
Rank by total paid#5 of 225
Median peer was paid$17K
This provider vs. median117×
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.
Entity ProliferationAuthorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more
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 | 3,418 | $108K | |
| 2019 | 7,244 | $160K | |
| 2020 | 4,329 | $139K | |
| 2021 | 11,811 | $262K | |
| 2022 | 15,824 | $354K | |
| 2023 | 13,588 | $545K | |
| 2024incomplete | 15,803 | $447K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 23,772 | 19,583 | $1.17M |
| 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 | 21% | 6,669 | 4,898 | $419K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 1,671 | 1,550 | $101K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 860 | 685 | $40K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.7% | 607 | 450 | $35K |
| 87428 | 1.6% | 812 | 734 | $33K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,726 | 1,574 | $27K |
| 99460 | 1.2% | 870 | 752 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 2,195 | 2,071 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 392 | 346 | $23K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 15 | 14 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 586 | 525 | $15K |
54 more codes
| 99462 | <1% | 936 | $14K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 232 | $13K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 376 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 130 | $8K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 207 | $7K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 158 | $5K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 91 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 451 | $5K |
| 81025 | <1% | 1,674 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 119 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 73 | $3K |
| 90670 | <1% | 330 | $2K | |
| 90698 | <1% | 214 | $2K | |
| 54150 | <1% | 13 | $1K | |
| 90680 | <1% | 178 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 51 | $1K |
| 87807 | <1% | 112 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $802.65 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $770.00 |
| 76801 | <1% | 19 | $769.73 | |
| 90686 | <1% | 106 | $680.00 | |
| 90685 | <1% | 108 | $624.00 | |
| 90744 | <1% | 76 | $576.00 | |
| 90633 | <1% | 41 | $216.00 | |
| 90710 | <1% | 26 | $184.00 | |
| 99051 | <1% | 16 | $140.32 | |
| 90734 | <1% | 17 | $120.00 | |
| 99221 | <1% | 42 | $71.16 | |
| 87210 | <1% | 20 | $70.00 | |
| 81002 | <1% | 13 | $36.00 | |
| 96160 | <1% | 31 | $23.08 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 16 | $19.20 |
| 99173 | <1% | 18 | $10.00 | |
| 1160F | 0% | 1,961 | $0.00 | |
| 0502F | 0% | 6,630 | $0.00 | |
| 1159F | 0% | 1,965 | $0.00 | |
| 3078F | 0% | 2,623 | $0.00 | |
| 3077F | 0% | 193 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 51 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 16 | $0.00 |
| 1036F | 0% | 2,238 | $0.00 | |
| 3074F | 0% | 3,513 | $0.00 | |
| 3079F | 0% | 782 | $0.00 | |
| 3008F | 0% | 3,881 | $0.00 | |
| 1125F | 0% | 133 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 405 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 615 | $0.00 |
| 90688 | 0% | 14 | $0.00 | |
| 1034F | 0% | 464 | $0.00 | |
| 3075F | 0% | 108 | $0.00 | |
| 3080F | 0% | 41 | $0.00 | |
| 1126F | 0% | 197 | $0.00 | |
| 0503F | 0% | 40 | $0.00 | |
| 0500F | 0% | 25 | $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 officialMUSIC, KRISTINA (DIRECTOR, PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Lutheran Medical Group LLC | Fort Wayne, IN | $21.97M |
| LA Porte Clinic Company LLC | Valparaiso, IN | $18.77M |
| Vicksburg Clinic LLC | Vicksburg, MS | $15.98M |
| Northwest Allied Physicians LLC | Tucson, AZ | $10.30M |
| Kosciusko Medical Group LLC | Warsaw, IN | $8.81M |
| Knoxville Hma Physician Management, LLC | Knoxville, TN | $8.70M |
| Wesley Physician Services LLC | Hattiesburg, MS | $8.20M |
| Porter Physician Services LLC | Valparaiso, IN | $6.44M |
| Hood Medical Group | Granbury, TX | $6.40M |
| Northwest Physicians LLC | Springdale, AR | $5.81M |
| QHG of Fort Wayne Company LLC | Fort Wayne, IN | $4.24M |
| Vicksburg Clinic LLC | Vicksburg, MS | $4.10M |
| Dukes Physician Services LLC | Peru, IN | $3.72M |
| Bluffton Physician Services LLC | Bluffton, IN | $3.45M |
| Bullhead City Clinic Corp | Bullhead City, AZ | $3.13M |
| Northwest Urgent Care LLC | Tucson, AZ | $2.64M |
| River Oaks Management Company LLC | Jackson, MS | $2.56M |
| Scranton Quincy Clinic Company LLC | Scranton, PA | $2.03M |
| Mat Su Valley Medical Center LLC | Wasilla, AK | $1.95M |
| Medstat LLC | Warsaw, IN | $1.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.