Clinic
Medical East of Decatur INC
Medical East of Decatur INC was paid $3.37M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoMEDICAL EAST OF DECATUR INC
SOMERVILLE, AL 35670
SOMERVILLE, AL 35670
33aNPI1700238508assigned 07/06/2016
33bProvider typeRural Health Clinic/Center
28Total paid$3.37M
24GClaims53,790
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#15 of 80
Median peer was paid$818K
This provider vs. median4.1×
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 | 1,891 | $160K | |
| 2019 | 4,083 | $308K | |
| 2020 | 6,640 | $485K | |
| 2021 | 7,864 | $495K | |
| 2022 | 12,849 | $734K | |
| 2023 | 14,322 | $766K | |
| 2024incomplete | 6,141 | $422K |
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 | 91% | 19,070 | 15,893 | $3.06M |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.7% | 281 | 260 | $59K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 13,076 | 10,801 | $50K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 1,877 | 1,706 | $47K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 3,357 | 3,116 | $44K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 261 | 211 | $40K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,892 | 1,452 | $33K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,976 | 1,563 | $18K |
| 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% | 6,038 | 5,050 | $6K |
| 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% | 214 | 207 | $2K |
| 82962 | <1% | 566 | 528 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 827 | 766 | $1K |
14 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,278 | $1K |
| 81002 | <1% | 389 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 387 | $727.26 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 215 | $352.26 |
| 86308 | <1% | 45 | $262.56 | |
| 90734 | <1% | 28 | $216.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 34 | $160.80 |
| 90686 | <1% | 14 | $145.09 | |
| 87807 | <1% | 13 | $143.00 | |
| 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% | 803 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 60 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 62 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 14 | $0.00 |
| 90633 | 0% | 13 | $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)
Parent organizationMEDICAL EAST OF DECATUR INC
| Provider | Location | Paid |
|---|---|---|
| Medical East of Decatur INC | Decatur, AL | $10.58M |
| 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.