Physician
Mark a Roberts MD PC
Mark a Roberts MD PC was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoMARK A ROBERTS MD PC
EVERGREEN, AL 36401
EVERGREEN, AL 36401
33aNPI1952466211assigned 12/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.03M
24GClaims49,181
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#43 of 455
Median peer was paid$57K
This provider vs. median18×
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 | 8,939 | $99K | |
| 2019 | 9,128 | $161K | |
| 2020 | 7,186 | $169K | |
| 2021 | 7,941 | $184K | |
| 2022 | 6,737 | $171K | |
| 2023 | 6,211 | $155K | |
| 2024incomplete | 3,039 | $89K |
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 | 67% | 14,393 | 12,297 | $688K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 1,595 | 1,439 | $115K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.7% | 5,723 | 5,034 | $59K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.8% | 599 | 566 | $29K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.7% | 5,488 | 4,936 | $28K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 493 | 451 | $25K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 876 | 504 | $24K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8% | 666 | 623 | $19K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 3,449 | 3,191 | $10K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 818 | 765 | $4K |
| 82962 | <1% | 3,462 | 3,134 | $4K | |
| 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% | 119 | 111 | $3K |
37 more codes
| 90674 | <1% | 151 | $3K | |
| 90686 | <1% | 360 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 3,459 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 129 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 29 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,243 | $1K |
| 0012A | <1% | 45 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 30 | $1K |
| 0011A | <1% | 48 | $895.52 | |
| 99285 | Emergency room visit (most serious) | <1% | 16 | $832.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,582 | $756.84 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 352 | $745.00 |
| 90682 | <1% | 55 | $587.07 | |
| 82947 | <1% | 453 | $512.00 | |
| 90756 | <1% | 93 | $501.38 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 41 | $483.00 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 74 | $439.36 |
| 90688 | <1% | 31 | $412.64 | |
| 0064A | <1% | 12 | $320.00 | |
| 81002 | <1% | 120 | $180.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 214 | $175.07 |
| 90661 | <1% | 34 | $147.40 | |
| 90687 | <1% | 22 | $98.95 | |
| 90694 | <1% | 45 | $75.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 18 | $63.20 |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 15 | $30.39 |
| 90662 | 0% | 84 | $0.00 | |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 0% | 33 | $0.00 |
| 3078F | 0% | 66 | $0.00 | |
| 3077F | 0% | 17 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 408 | $0.00 |
| 3044F | 0% | 36 | $0.00 | |
| 91301 | 0% | 101 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 91306 | 0% | 12 | $0.00 | |
| 3074F | 0% | 45 | $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 officialPOWELL, JAMES (CLINIC MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Long Island Select Healthcare, INC. | Central Islip, NY | $13.95M |
| Long Island Select Healthcare, INC. | Hauppauge, NY | $7.41M |
| Long Island Select Healthcare, INC. | Riverhead, NY | $5.98M |
| Long Island Select Healthcare, INC. | Central Islip, NY | $2.94M |
| Preferred Choice Healthcare | Shelby, NC | $2.85M |
| Long Island Select Healthcare, INC. | Port Jefferson Station, NY | $1.01M |
| Vision Today PLLC | Jacksonville, FL | $2K |
| Family Vision Care PA | Jacksonville, FL | $2K |
| Long Island Select Healthcare, INC. | Smithtown, NY | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.