NP / PA
Essential Healthcare LLC
Essential Healthcare LLC was paid $305K by Medicaid between Jun 2020 and Dec 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoESSENTIAL HEALTHCARE LLC
CENTRE, AL 35960
CENTRE, AL 35960
33aNPI1720572407assigned 06/18/2018
33bProvider typePrimary Care Nurse Practitioner
28Total paid$305K
24GClaims5,855
24DCodes billed6
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Primary Care Nurse Practitioner providers in Alabama
Rank by total paid#1 of 7
Median peer was paid$236.40
This provider vs. median1,292×
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 | |
|---|---|---|---|
| 2020 | 148 | $8K | |
| 2021 | 1,383 | $58K | |
| 2022 | 2,062 | $100K | |
| 2023 | 1,231 | $71K | |
| 2024incomplete | 1,031 | $69K |
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 | 94% | 2,967 | 2,254 | $287K |
| 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 | 6.0% | 2,704 | 2,159 | $18K |
| 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% | 49 | 31 | $222.04 |
| 36415 | Collection of venous blood by venipuncture | <1% | 105 | 87 | $104.00 |
| 3008F | 0% | 15 | 12 | $0.00 | |
| 1159F | 0% | 15 | 12 | $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 officialKILGO, AIMEE (PRESIDENT)