Clinic
Emerald Sands Medical Center
Emerald Sands Medical Center was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoEMERALD SANDS MEDICAL CENTER
FOLEY, AL 36535
FOLEY, AL 36535
33aNPI1699180315assigned 06/23/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$1.19M
24GClaims16,987
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Alabama
Rank by total paid#10 of 75
Median peer was paid$56K
This provider vs. median21×
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 | 2,216 | $168K | |
| 2019 | 2,479 | $181K | |
| 2020 | 2,117 | $177K | |
| 2021 | 1,948 | $161K | |
| 2022 | 2,539 | $164K | |
| 2023 | 3,177 | $195K | |
| 2024incomplete | 2,511 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 63% | 9,172 | 7,814 | $752K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 25% | 2,581 | 2,213 | $294K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 1,754 | 1,438 | $96K |
| 80305 | 1.9% | 2,591 | 2,262 | $22K | |
| 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 | 1.6% | 197 | 156 | $19K |
| 99354 | <1% | 67 | 52 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 47 | 24 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 50 | 44 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 120 | 96 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 60 | 55 | $561.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | 41 | $532.00 |
| 82962 | <1% | 147 | 136 | $408.00 |
2 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 104 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 52 | $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 officialBUCKMASTER, CHARLES (OWNER/MEDICAL DIRECTOR)