Physician
Tuscaloosa Focus MD LLC
Tuscaloosa Focus MD LLC was paid $34K by Medicaid between Jan 2018 and Dec 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoTUSCALOOSA FOCUS MD LLC
NORTHPORT, AL 25473
NORTHPORT, AL 25473
33aNPI1922440551assigned 07/24/2013
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$34K
24GClaims714
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Alabama
Rank by total paid#15 of 21
Median peer was paid$270K
This provider vs. median0.1×
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 | 223 | $12K | |
| 2019 | 339 | $18K | |
| 2020 | 152 | $5K |
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 | 91% | 610 | 525 | $32K |
| 96132 | 3.3% | 16 | 13 | $1K | |
| Q3014 | Telehealth originating site facility fee | 2.5% | 44 | 43 | $860.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 14 | 14 | $588.00 |
| 96138 | <1% | 16 | 13 | $310.56 | |
| 96127 | <1% | 14 | 14 | $49.05 |
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, MARK (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.