Physician
Anderson Physician Alliance, INC.
Anderson Physician Alliance, INC. was paid $2.73M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 59426, — 22% of everything it billed.
33Billing provider infoANDERSON PHYSICIAN ALLIANCE, INC.
MERIDIAN, MS 39301
MERIDIAN, MS 39301
33aNPI1760798227assigned 08/23/2010
33bProvider typeFamily Medicine Physician
28Total paid$2.73M
24GClaims51,892
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Mississippi
Rank by total paid#15 of 306
Median peer was paid$59K
This provider vs. median46×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DUCKETT, GREGORY controls 20+ related entities in our dataset. Read more
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 | 6,820 | $440K | |
| 2019 | 6,768 | $515K | |
| 2020 | 6,538 | $478K | |
| 2021 | 6,958 | $500K | |
| 2022 | 6,615 | $427K | |
| 2023 | 4,614 | $212K | |
| 2024incomplete | 13,579 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 22% | 7,031 | 4,602 | $589K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 11,057 | 9,107 | $474K |
| 59425 | 15% | 5,631 | 4,541 | $416K | |
| 59515 | 14% | 463 | 407 | $380K | |
| 59410 | 9.5% | 386 | 358 | $259K | |
| 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 | 7.1% | 5,334 | 4,543 | $193K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.3% | 2,869 | 2,473 | $117K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 1,637 | 1,425 | $89K |
| 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% | 666 | 609 | $44K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.4% | 871 | 696 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 1,385 | 1,191 | $31K |
| 76801 | <1% | 681 | 554 | $26K |
42 more codes
| 31231 | <1% | 147 | $13K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 516 | $12K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 385 | $11K |
| 59025 | Fetal non-stress test | <1% | 413 | $8K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 32 | $7K |
| 69210 | <1% | 239 | $5K | |
| 81025 | <1% | 794 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 131 | $3K |
| 99217 | <1% | 63 | $3K | |
| 99219 | <1% | 39 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | $2K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 31 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $972.30 |
| 36415 | Collection of venous blood by venipuncture | <1% | 258 | $778.47 |
| 98925 | <1% | 47 | $612.86 | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $288.95 |
| 92567 | <1% | 13 | $141.35 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $113.95 |
| 81002 | <1% | 395 | $103.38 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 25 | $82.10 |
| 87210 | <1% | 18 | $73.88 | |
| 81003 | <1% | 100 | $35.50 | |
| 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) | <1% | 303 | $14.90 |
| 0502F | 0% | 185 | $0.00 | |
| 3078F | 0% | 1,647 | $0.00 | |
| 1160F | 0% | 975 | $0.00 | |
| 1159F | 0% | 1,912 | $0.00 | |
| 3077F | 0% | 537 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 35 | $0.00 |
| 1126F | 0% | 188 | $0.00 | |
| 99439 | 0% | 12 | $0.00 | |
| 3079F | 0% | 600 | $0.00 | |
| 3074F | 0% | 1,347 | $0.00 | |
| 3008F | 0% | 1,546 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 18 | $0.00 |
| 3080F | 0% | 175 | $0.00 | |
| 3075F | 0% | 408 | $0.00 | |
| 0501F | 0% | 18 | $0.00 | |
| 1125F | 0% | 134 | $0.00 | |
| 3044F | 0% | 56 | $0.00 | |
| 4037F | 0% | 27 | $0.00 | |
| 1111F | 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 officialDUCKETT, GREGORY (SR VP / CLO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.