Medicaid Provider Spending

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

MEDICAL EAST OF DECATUR INC

NPI: 1659518553 · DECATUR, AL 35603 · Family Nurse Practitioner · NPI assigned 01/14/2009

$10.58M
Total Medicaid Paid
230,372
Total Claims
195,053
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRAHAM, MICHELLE (CLINICAL DIRECTOR)
NPI Enumeration Date01/14/2009

Related Entities

Other providers sharing the same authorized official: GRAHAM, MICHELLE

ProviderCityStateTotal Paid
MEDICAL EAST OF DECATUR INC SOMERVILLE AL $3.37M
TANNER MEDICAL CLINIC LLC TANNER AL $2.62M
FALKVILLE MEDICAL CLINIC, LLC FALKVILLE AL $2.11M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,660 $1.44M
2019 35,829 $1.59M
2020 28,107 $1.35M
2021 36,532 $1.57M
2022 35,673 $1.59M
2023 38,045 $1.69M
2024 26,526 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 77,483 62,522 $9.03M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,957 2,396 $338K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18,591 17,269 $250K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,208 6,759 $183K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12,920 7,597 $169K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 636 627 $134K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55,086 45,825 $107K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 873 833 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,541 3,123 $36K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,983 10,829 $26K
90670 2,228 2,167 $25K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,160 3,063 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,087 2,932 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,991 2,871 $15K
90680 1,657 1,619 $15K
87807 1,383 1,296 $15K
74019 680 626 $14K
90633 1,483 1,457 $13K
90686 1,404 1,368 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,600 2,491 $11K
90734 606 599 $8K
90647 965 948 $8K
90651 382 377 $8K
99354 146 132 $7K
90723 777 756 $7K
90697 655 654 $6K
81002 2,029 1,878 $6K
85018 1,791 1,737 $5K
71046 Radiologic examination, chest; 2 views 291 256 $5K
90710 336 331 $5K
90677 408 408 $4K
90716 339 335 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,276 2,074 $4K
90649 372 358 $4K
90715 357 353 $3K
90700 388 379 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 51 50 $3K
90696 280 279 $3K
90707 303 298 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 599 577 $2K
90658 208 204 $2K
90744 176 169 $1K
90648 179 169 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,593 1,518 $1K
90656 154 151 $1K
90671 133 132 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 28 28 $1K
82947 229 216 $888.00
90713 105 104 $873.78
86308 141 129 $764.60
82962 243 226 $677.39
90698 74 71 $664.41
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 25 25 $552.24
36415 Collection of venous blood by venipuncture 290 269 $416.00
87653 18 18 $396.00
74018 14 14 $244.58
84703 39 38 $234.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 46 $225.00
90687 34 34 $120.00
81025 39 37 $104.60
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 13 $93.60
99381 14 13 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 1,201 911 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32 30 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 17 15 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 24 $0.00