Clinic
Vaughan Regional Medical Center LLC
Vaughan Regional Medical Center LLC was paid $2.15M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoVAUGHAN REGIONAL MEDICAL CENTER LLC
MARION, AL 36756
MARION, AL 36756
33aNPI1770600066assigned 03/23/2007
33bProvider typeRural Health Clinic/Center
28Total paid$2.15M
24GClaims72,967
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#22 of 80
Median peer was paid$818K
This provider vs. median2.6×
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 TEAGUE, KATHY 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 | 10,989 | $407K | |
| 2019 | 15,300 | $378K | |
| 2020 | 10,580 | $306K | |
| 2021 | 7,812 | $265K | |
| 2022 | 11,180 | $313K | |
| 2023 | 11,781 | $284K | |
| 2024incomplete | 5,325 | $202K |
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 | 100% | 29,164 | 19,707 | $2.15M |
| 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% | 6,184 | 3,372 | $5K |
| 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% | 3,532 | 2,086 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,356 | 646 | $198.76 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 265 | 159 | $177.92 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 81 | 49 | $125.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | 26 | $22.24 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 646 | 317 | $19.16 |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 712 | 355 | $13.41 |
| 85018 | <1% | 483 | 192 | $9.68 | |
| 81003 | <1% | 303 | 133 | $4.60 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 353 | 164 | $2.16 |
14 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 820 | $0.58 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 12,240 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 10,381 | $0.00 |
| 99305 | 0% | 22 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 36 | $0.00 |
| 99304 | 0% | 78 | $0.00 | |
| 3008F | 0% | 32 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 13 | $0.00 |
| 1036F | 0% | 28 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | $0.00 |
| 99307 | 0% | 4,752 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,317 | $0.00 |
| 1160F | 0% | 52 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 50 | $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 officialTEAGUE, KATHY (ASSISTANT VICE PRESIDENT, SECRETARY)
Parent organizationVAUGHAN REGIONAL MEDICAL CENTER LLC
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|---|---|---|
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.