Physician
Internal Medicine and Pediatric Clinic of New Albany, PLLC
Internal Medicine and Pediatric Clinic of New Albany, PLLC was paid $9.90M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoINTERNAL MEDICINE AND PEDIATRIC CLINIC OF NEW ALBANY, PLLC
NEW ALBANY, MS 38652
NEW ALBANY, MS 38652
33aNPI1811073356assigned 10/27/2006
33bProvider typePediatrics Physician
28Total paid$9.90M
24GClaims322,201
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Mississippi
Rank by total paid#5 of 86
Median peer was paid$221K
This provider vs. median45×
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 | 45,600 | $1.27M | |
| 2019 | 47,246 | $1.34M | |
| 2020 | 47,444 | $1.37M | |
| 2021 | 62,560 | $2.06M | |
| 2022 | 53,936 | $1.58M | |
| 2023 | 41,282 | $1.36M | |
| 2024incomplete | 24,133 | $926K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 38,072 | 33,286 | $2.66M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 42,026 | 37,918 | $2.26M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 15,961 | 14,160 | $1.20M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 11,517 | 10,836 | $911K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 25,709 | 23,770 | $853K |
| 87631 | 5.9% | 6,160 | 5,802 | $583K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 2,322 | 2,173 | $173K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 2,411 | 2,007 | $125K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 10,136 | 4,528 | $112K |
| 99460 | 1.1% | 1,510 | 1,204 | $106K | |
| 99051 | <1% | 6,888 | 6,240 | $87K | |
| 87428 | <1% | 3,407 | 3,077 | $83K |
80 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14,012 | $75K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 2,212 | $69K |
| D1206 | Topical application of fluoride varnish | <1% | 3,217 | $65K |
| 92551 | <1% | 8,048 | $58K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 3,598 | $52K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,800 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 455 | $35K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,566 | $34K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,044 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 723 | $22K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 413 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,072 | $21K |
| 96127 | <1% | 7,843 | $20K | |
| 99462 | <1% | 622 | $20K | |
| 83655 | <1% | 1,938 | $19K | |
| 87400 | <1% | 1,669 | $17K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 456 | $17K |
| 96161 | <1% | 7,617 | $16K | |
| 87420 | <1% | 1,629 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,471 | $15K |
| 99173 | <1% | 7,468 | $13K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,362 | $10K |
| 99490 | Ccm add 20min | <1% | 1,831 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 932 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 59 | $6K |
| 86308 | <1% | 1,114 | $4K | |
| 90686 | <1% | 5,215 | $3K | |
| 80305 | <1% | 287 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 320 | $3K |
| 87807 | <1% | 218 | $3K | |
| 96160 | <1% | 1,211 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 30 | $2K |
| 80061 | Lipid panel | <1% | 159 | $899.12 |
| 90461 | <1% | 16,482 | $849.66 | |
| 0001A | <1% | 28 | $820.63 | |
| 90670 | <1% | 8,380 | $801.88 | |
| 90677 | <1% | 890 | $766.05 | |
| 81003 | <1% | 442 | $538.05 | |
| 0002A | <1% | 14 | $461.93 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 87 | $342.30 |
| 80053 | Comprehensive metabolic panel | <1% | 106 | $283.71 |
| 99439 | <1% | 365 | $234.29 | |
| 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% | 143 | $208.60 |
| 90619 | <1% | 80 | $156.11 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 240 | $156.01 |
| 90656 | <1% | 125 | $117.04 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 158 | $77.79 |
| 90707 | <1% | 1,890 | $70.81 | |
| 90715 | <1% | 73 | $65.58 | |
| 36416 | <1% | 9,919 | $64.50 | |
| 90723 | <1% | 6,644 | $0.02 | |
| 90680 | <1% | 3,298 | $0.01 | |
| 3077F | 0% | 152 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 244 | $0.00 |
| 90633 | 0% | 2,957 | $0.00 | |
| 90681 | 0% | 1,344 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 108 | $0.00 |
| 3078F | 0% | 822 | $0.00 | |
| 99080 | 0% | 45 | $0.00 | |
| 90700 | 0% | 248 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 51 | $0.00 |
| 90671 | 0% | 550 | $0.00 | |
| 90380 | 0% | 33 | $0.00 | |
| 90687 | 0% | 32 | $0.00 | |
| 90734 | 0% | 45 | $0.00 | |
| 90685 | 0% | 48 | $0.00 | |
| 90647 | 0% | 6,200 | $0.00 | |
| 90651 | 0% | 196 | $0.00 | |
| 3074F | 0% | 1,180 | $0.00 | |
| 90716 | 0% | 1,851 | $0.00 | |
| 3079F | 0% | 513 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 716 | $0.00 |
| 3075F | 0% | 199 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 31 | $0.00 |
| 90381 | 0% | 57 | $0.00 | |
| 90696 | 0% | 122 | $0.00 | |
| 1036F | 0% | 174 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 75 | $0.00 |
| 3080F | 0% | 100 | $0.00 | |
| 90688 | 0% | 14 | $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 officialTHOMAS, RACHEL (BILLING MANAGER/CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| RT Medical LLC | Old Hickory, TN | $8.81M |
| Northland Health Partners Community Health Center | Rolette, ND | $564K |
| Northland Health Partners Community Health Center | Turtle Lake, ND | $481K |
| Northland Health Partners Community Health Center | Minot, ND | $221K |
| Northland Health Partners Community Health Center | Minot, ND | $146K |
| Northland Health Partners Community Health Center | St John, ND | $78K |
| Northland Health Partners Community Health Center | Mcclusky, ND | $59K |
| Northland Health Partners Community Health Center | Minot, ND | $29K |
| Northland Health Partners Community Health Center | Rolla, ND | $9K |
| Northland Health Partners Community Health Center | Bismarck, ND | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.