Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

East Alabama Orthopaedics and Sports Medicine, LLC

East Alabama Orthopaedics and Sports Medicine, LLC was paid $158K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoEAST ALABAMA ORTHOPAEDICS AND SPORTS MEDICINE, LLC
OPELIKA, AL 36801
33aNPI1922272624assigned 04/15/2008
28Total paid$158K
24GClaims4,744
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Internal Medicine Physician providers in Alabama

Rank by total paid#60 of 225
Median peer was paid$17K
This provider vs. median9.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PRICE, SAMUEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,401$24K
2019988$21K
2020545$11K
2021471$19K
2022631$35K
2023497$34K
2024incomplete211$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 2,471 1,867 $56K
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 30% 518 454 $48K
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 13% 446 343 $21K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 512 432 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.1% 489 431 $10K
20610 1.3% 114 86 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 125 114 $743.65
73562 <1% 43 27 $520.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 14 12 $366.30
73030 <1% 12 12 $231.00

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 officialPRICE, SAMUEL (CFO)
Parent organizationEAST ALABAMA MEDICAL DEVELOPMENT ASSOCIATES, INC
Same official

Other billing entities under PRICE, SAMUEL

Full network →

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