Physician
Fordham, Tonya
Fordham, Tonya was paid $403K by Medicaid between Jan 2018 and Jun 2021, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoFORDHAM, TONYA
BAXLEY, GA 31513
BAXLEY, GA 31513
33aNPI1861462053assigned 01/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$403K
24GClaims16,364
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Family Medicine Physician providers in Georgia
Rank by total paid#24 of 162
Median peer was paid$12K
This provider vs. median33×
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 | 4,121 | $114K | |
| 2019 | 6,867 | $135K | |
| 2020 | 4,424 | $111K | |
| 2021 | 952 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 2,943 | 2,149 | $182K |
| 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 | 26% | 1,148 | 854 | $105K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.5% | 3,161 | 2,342 | $30K |
| 99050 | 5.2% | 1,563 | 1,229 | $21K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.0% | 535 | 448 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.8% | 451 | 364 | $15K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.1% | 520 | 436 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.5% | 630 | 510 | $6K |
| 81002 | <1% | 1,254 | 986 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 114 | 90 | $3K |
| 87631 | <1% | 451 | 361 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 183 | 156 | $3K |
8 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 172 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 244 | $1K |
| 96127 | <1% | 71 | $201.88 | |
| 82150 | <1% | 14 | $117.65 | |
| 86308 | <1% | 16 | $101.15 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,796 | $0.00 |
| 87260 | 0% | 86 | $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.