Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH ALABAMA MEDICAL CLINIC, LLC

NPI: 1811288038 · GRAND BAY, AL 36541 · Professional Counselor · NPI assigned 04/21/2011

Deactivated NPI · This NPI was deactivated on 07/23/2024. Reactivated 07/31/2024.
$8.69M
Total Medicaid Paid
200,467
Total Claims
169,404
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETERS, BRIDGOT (DIRECTOR)
NPI Enumeration Date04/21/2011

Related Entities

Other providers sharing the same authorized official: PETERS, BRIDGOT

ProviderCityStateTotal Paid
URGENT CARE 59, PC BAY MINETTE AL $276K
SOUTH ALABAMA FAMILY CARE, LLC GRAND BAY AL $207K
LUCEDALE URGENT CARE, PC LUCEDALE MS $74K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,857 $955K
2019 27,195 $1.15M
2020 19,701 $896K
2021 26,737 $1.24M
2022 36,278 $1.56M
2023 39,039 $1.67M
2024 30,660 $1.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 82,225 66,060 $7.74M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,142 13,819 $178K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 7,004 6,456 $175K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,766 1,584 $167K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,760 7,828 $165K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 343 319 $55K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,283 1,210 $32K
90670 2,443 2,366 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,250 37,797 $20K
87428 761 716 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,656 4,061 $14K
90460 Immunization administration through 18 years of age via any route, first or only component 371 268 $14K
90680 1,367 1,300 $10K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,002 810 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,711 3,468 $9K
90686 1,135 1,101 $9K
90648 936 901 $7K
90633 723 704 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,496 10,749 $6K
90651 283 249 $5K
87807 518 481 $5K
90677 392 337 $3K
90723 284 270 $2K
90461 51 39 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,005 1,619 $2K
90697 290 259 $2K
90685 218 212 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,638 2,307 $1K
90688 119 116 $928.00
90734 90 89 $712.00
71046 Radiologic examination, chest; 2 views 39 39 $578.63
90619 81 80 $528.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 49 $504.35
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 66 44 $503.80
92567 77 66 $490.00
81002 180 150 $443.61
90710 51 50 $384.00
90698 63 51 $336.00
90707 37 37 $296.00
90716 37 37 $296.00
90715 36 36 $288.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,185 1,010 $181.55
90656 18 18 $144.00
90696 14 14 $112.00
90837 Psychotherapy, 53 minutes with patient 16 12 $102.29
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 26 $99.11
90700 14 12 $88.00
90791 Psychiatric diagnostic evaluation 15 12 $83.00
99000 34 31 $64.40
99051 13 12 $62.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg 73 67 $49.22
81025 12 12 $36.00
90832 Psychotherapy, 30 minutes with patient 22 12 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 37 32 $0.00