Physician
Vaughan Physician Practices, LLC
Vaughan Physician Practices, LLC was paid $113K by Medicaid between Jan 2018 and Aug 2024, across 19 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 59% of everything it billed.
33Billing provider infoVAUGHAN PHYSICIAN PRACTICES, LLC
SELMA, AL 36701
SELMA, AL 36701
33aNPI1629310958assigned 03/25/2013
33bProvider typeFamily Medicine Physician
28Total paid$113K
24GClaims6,996
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#186 of 455
Median peer was paid$57K
This provider vs. median2.0×
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
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 | 228 | $5K | |
| 2021 | 174 | $0.00 | |
| 2022 | 1,367 | $36K | |
| 2023 | 1,856 | $51K | |
| 2024incomplete | 3,371 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 59% | 1,223 | 1,071 | $66K |
| 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 | 31% | 1,028 | 758 | $35K |
| 99205 | Prolong outpt/office vis | 3.6% | 51 | 47 | $4K |
| 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 | 3.5% | 266 | 138 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 54 | 53 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,023 | 802 | $818.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 296 | 159 | $667.77 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 74 | 32 | $311.39 |
| 3008F | 0% | 606 | 351 | $0.00 | |
| 3074F | 0% | 289 | 171 | $0.00 | |
| 1036F | 0% | 643 | 429 | $0.00 | |
| 3079F | 0% | 178 | 102 | $0.00 |
7 more codes
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 officialCOWART, PHILLIP (DIRECTOR)