Marshall Medical Center South

Marshall Medical Center South was paid $250K by Medicaid between Jan 2018 and Jul 2023, across 14 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 22% of everything it billed.

33Billing provider infoMARSHALL MEDICAL CENTER SOUTH
BOAZ, AL 35957

33aNPI1780776633assigned 09/29/2006

33bProvider typeOtolaryngology Physician

28Total paid$250K

24GClaims8,645

24DCodes billed14

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Otolaryngology Physician providers in Alabama

Rank by total paid#10 of 29

Median peer was paid$56K

This provider vs. median4.4×

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	1,659	$36K
2019	1,658	$41K
2020	1,355	$33K
2021	1,502	$45K
2022	1,205	$36K
2023	1,266	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	22%	1,033	951	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	1,642	1,411	$51K
99243		13%	394	383	$31K
99244	Office or other outpatient consultation, moderate to high complexity	11%	275	268	$27K
95115		8.9%	2,941	1,152	$22K
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	8.1%	374	340	$20K
92567		5.4%	1,376	1,207	$13K
92557		3.1%	344	300	$8K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	2.9%	98	53	$7K
31231		2.4%	61	54	$6K
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	1.9%	44	43	$5K
42820	Tonsillectomy and adenoidectomy; younger than age 12	1.2%	12	12	$3K

2 more codes

99203	Doctor's office visit, new patient (routine)	<1%	37	$2K
92587		<1%	14	$560.00

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 officialGORE, GARY (CEO)

Same official

Other billing entities under GORE, GARY

Full network →

Provider	Location	Paid
Marshall Medical Center South	Albertville, AL	$47K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.