Clinic
East Central Mississippi Health Care INC
East Central Mississippi Health Care INC was paid $1.15M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoEAST CENTRAL MISSISSIPPI HEALTH CARE INC
SEBASTOPOL, MS 39359
SEBASTOPOL, MS 39359
33aNPI1699721209assigned 05/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.15M
24GClaims33,203
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Mississippi
Rank by total paid#16 of 189
Median peer was paid$110K
This provider vs. median10×
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 | 5,581 | $203K | |
| 2019 | 5,109 | $193K | |
| 2020 | 3,441 | $127K | |
| 2021 | 4,295 | $174K | |
| 2022 | 4,968 | $162K | |
| 2023 | 6,355 | $181K | |
| 2024incomplete | 3,454 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 70% | 9,713 | 8,090 | $807K |
| 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 | 16% | 2,858 | 2,376 | $186K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.3% | 766 | 519 | $50K |
| D0999 | Unspecified diagnostic procedure, by report | 3.1% | 263 | 263 | $35K |
| D0330 | Panoramic radiographic image | 2.1% | 453 | 405 | $24K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.5% | 2,975 | 2,077 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 132 | 130 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 44 | 39 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 361 | 324 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 79 | 71 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,752 | 2,194 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 193 | 176 | $961.00 |
31 more codes
| D0272 | Bitewings - two radiographic images | <1% | 15 | $550.25 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 35 | $220.10 |
| 85027 | <1% | 1,198 | $212.82 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,910 | $44.16 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,068 | $33.10 |
| 87428 | <1% | 1,278 | $18.01 | |
| 81000 | <1% | 108 | $13.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,360 | $12.20 |
| G0008 | Administration of influenza virus vaccine | <1% | 139 | $9.50 |
| 80305 | <1% | 78 | $7.56 | |
| 90686 | <1% | 35 | $2.50 | |
| 90671 | <1% | 127 | $0.12 | |
| 99000 | 0% | 807 | $0.00 | |
| 90474 | 0% | 81 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 44 | $0.00 |
| 90697 | 0% | 60 | $0.00 | |
| 90680 | 0% | 81 | $0.00 | |
| 36416 | 0% | 133 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 84 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 13 | $0.00 |
| 90723 | 0% | 26 | $0.00 | |
| 90670 | 0% | 198 | $0.00 | |
| 87420 | 0% | 275 | $0.00 | |
| 99071 | 0% | 203 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 995 | $0.00 |
| 81025 | 0% | 12 | $0.00 | |
| 90648 | 0% | 86 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 122 | $0.00 |
| 90633 | 0% | 13 | $0.00 | |
| 81002 | 0% | 16 | $0.00 | |
| 90681 | 0% | 14 | $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 officialBISHOP, JILL (CEO)
| Provider | Location | Paid |
|---|---|---|
| East Central Mississippi Health Care, INC. | Newton, MS | $806K |
| East Central Mississippi Health Care, INC | Walnut Grove, MS | $119K |
| East Central Mississippi Health Care, INC. | Philadelphia, MS | $102K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.