NP / PA
Medical East of Decatur INC
Medical East of Decatur INC was paid $10.58M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoMEDICAL EAST OF DECATUR INC
DECATUR, AL 35603
DECATUR, AL 35603
33aNPI1659518553assigned 01/14/2009
33bProvider typeFamily Nurse Practitioner
28Total paid$10.58M
24GClaims230,372
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Alabama
Rank by total paid#1 of 130
Median peer was paid$0.00
This provider vs. median0.0×
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 | 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 | |
| 2024incomplete | 26,526 | $1.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 77,483 | 62,522 | $9.03M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.2% | 2,957 | 2,396 | $338K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 18,591 | 17,269 | $250K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 7,208 | 6,759 | $183K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 12,920 | 7,597 | $169K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.3% | 636 | 627 | $134K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 55,086 | 45,825 | $107K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 873 | 833 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,541 | 3,123 | $36K |
| 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 | <1% | 11,983 | 10,829 | $26K |
| 90670 | <1% | 2,228 | 2,167 | $25K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,160 | 3,063 | $21K |
54 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,087 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,991 | $15K |
| 90680 | <1% | 1,657 | $15K | |
| 87807 | <1% | 1,383 | $15K | |
| 74019 | <1% | 680 | $14K | |
| 90633 | <1% | 1,483 | $13K | |
| 90686 | <1% | 1,404 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,600 | $11K |
| 90734 | <1% | 606 | $8K | |
| 90647 | <1% | 965 | $8K | |
| 90651 | <1% | 382 | $8K | |
| 99354 | <1% | 146 | $7K | |
| 90723 | <1% | 777 | $7K | |
| 90697 | <1% | 655 | $6K | |
| 81002 | <1% | 2,029 | $6K | |
| 85018 | <1% | 1,791 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 291 | $5K |
| 90710 | <1% | 336 | $5K | |
| 90677 | <1% | 408 | $4K | |
| 90716 | <1% | 339 | $4K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,276 | $4K |
| 90649 | <1% | 372 | $4K | |
| 90715 | <1% | 357 | $3K | |
| 90700 | <1% | 388 | $3K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 51 | $3K |
| 90696 | <1% | 280 | $3K | |
| 90707 | <1% | 303 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 599 | $2K |
| 90658 | <1% | 208 | $2K | |
| 90744 | <1% | 176 | $1K | |
| 90648 | <1% | 179 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,593 | $1K |
| 90656 | <1% | 154 | $1K | |
| 90671 | <1% | 133 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 28 | $1K |
| 82947 | <1% | 229 | $888.00 | |
| 90713 | <1% | 105 | $873.78 | |
| 86308 | <1% | 141 | $764.60 | |
| 82962 | <1% | 243 | $677.39 | |
| 90698 | <1% | 74 | $664.41 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 25 | $552.24 |
| 36415 | Collection of venous blood by venipuncture | <1% | 290 | $416.00 |
| 87653 | <1% | 18 | $396.00 | |
| 74018 | <1% | 14 | $244.58 | |
| 84703 | <1% | 39 | $234.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | $225.00 |
| 90687 | <1% | 34 | $120.00 | |
| 81025 | <1% | 39 | $104.60 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $93.60 |
| 99381 | 0% | 14 | $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 | 0% | 1,201 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 32 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 17 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 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 officialGRAHAM, MICHELLE (CLINICAL DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.