Physician
Monroe County Health Care Authority
Monroe County Health Care Authority was paid $565K by Medicaid between Jan 2018 and Sep 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoMONROE COUNTY HEALTH CARE AUTHORITY
MONROEVILLE, AL 36460
MONROEVILLE, AL 36460
33aNPI1871015461assigned 07/14/2017
33bProvider typeObstetrics & Gynecology Physician
28Total paid$565K
24GClaims16,259
24DCodes billed36
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Alabama
Rank by total paid#17 of 124
Median peer was paid$10K
This provider vs. median58×
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 | 3,519 | $107K | |
| 2019 | 6,328 | $238K | |
| 2020 | 4,487 | $187K | |
| 2021 | 454 | $23K | |
| 2022 | 342 | $3K | |
| 2023 | 818 | $6K | |
| 2024incomplete | 311 | $2K |
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 | 48% | 3,986 | 3,550 | $274K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 4,274 | 3,810 | $196K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 551 | 532 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 1,454 | 1,068 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 276 | 272 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 1,468 | 1,105 | $11K |
| 90686 | <1% | 441 | 426 | $5K | |
| 90670 | <1% | 519 | 502 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 124 | 109 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | 84 | $3K |
| 90633 | <1% | 295 | 276 | $2K | |
| 90651 | <1% | 280 | 250 | $2K |
24 more codes
| 90680 | <1% | 230 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,060 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $2K |
| 90698 | <1% | 168 | $1K | |
| 99462 | <1% | 24 | $931.50 | |
| 90671 | <1% | 89 | $672.00 | |
| 90710 | <1% | 82 | $576.00 | |
| 90648 | <1% | 83 | $536.00 | |
| 90619 | <1% | 71 | $416.00 | |
| 92551 | <1% | 96 | $388.60 | |
| 99173 | <1% | 98 | $384.00 | |
| 90696 | <1% | 55 | $376.00 | |
| 83655 | <1% | 25 | $375.00 | |
| 90734 | <1% | 52 | $320.00 | |
| 90677 | <1% | 50 | $304.00 | |
| 87807 | <1% | 62 | $253.00 | |
| 90744 | <1% | 25 | $192.00 | |
| 81003 | <1% | 69 | $126.00 | |
| 90688 | <1% | 13 | $123.04 | |
| 90715 | <1% | 28 | $112.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $110.00 |
| 90723 | <1% | 25 | $80.00 | |
| 36416 | 0% | 27 | $0.00 | |
| 85018 | 0% | 26 | $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 officialJOHNSON, KATHY (PFS DIRECTOR)
Parent organizationMONROE COUNTY HOSPITAL BOARD
| Provider | Location | Paid |
|---|---|---|
| Montgomery County Schools | Troy, NC | $228K |
| Monroe County Health Care Authority | Monroeville, AL | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.