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

Carmel Health Network

Carmel Health Network was paid $91K by Medicaid between Jan 2018 and Sep 2018, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoCARMEL HEALTH NETWORK
MOBILE, AL 36604
33aNPI1629028642assigned 05/11/2006
28Total paid$91K
24GClaims3,961
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Alabama

Rank by total paid#13 of 21
Median peer was paid$270K
This provider vs. median0.3×

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$5.0K$10K$15K2018201920202021202220232024
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
20183,961$91K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 723 547 $49K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 20% 260 174 $18K
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% 242 206 $12K
87430 7.2% 738 559 $7K
36415 Collection of venous blood by venipuncture 1.5% 1,006 715 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.3% 276 177 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 13 13 $840.00
81002 <1% 191 129 $350.09
92551 <1% 94 69 $291.50
99173 <1% 141 100 $250.00
90700 <1% 18 14 $237.48
90734 <1% 14 13 $197.90
3 more codes
90648 <1% 15 $197.90
94760 0% 65 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 165 $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 officialALLEN JOHNSON, JENNIFER (DIRECTOR)