Physician
Marshall Medical Center South
Marshall Medical Center South was paid $16K by Medicaid between Feb 2018 and May 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoMARSHALL MEDICAL CENTER SOUTH
GUNTERSVILLE, AL 35976
GUNTERSVILLE, AL 35976
33aNPI1962824441assigned 01/17/2014
33bProvider typeOrthopaedic Surgery Physician
28Total paid$16K
24GClaims816
24DCodes billed7
24AFirst – last monthFeb 2018 – May 2022
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Alabama
Rank by total paid#19 of 41
Median peer was paid$7K
This provider vs. median2.4×
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 | 566 | $11K | |
| 2019 | 196 | $5K | |
| 2020 | 18 | $62.20 | |
| 2021 | 21 | $210.94 | |
| 2022 | 15 | $73.33 |
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 | 48% | 369 | 225 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 30% | 108 | 91 | $5K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 8.7% | 83 | 24 | $1K |
| 73100 | 3.8% | 35 | 31 | $608.00 | |
| 20610 | 3.7% | 48 | 27 | $599.10 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 36 | 24 | $429.74 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 2.3% | 137 | 89 | $372.39 |
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 officialNELSON, KATHY (CFO)
Parent organizationMARSHALL MEDICAL CENTER SOUTH
| Provider | Location | Paid |
|---|---|---|
| Marshall Medical Center South | Boaz, AL | $2.82M |
| Marshall Medical Center South | Boaz, AL | $1.34M |
| Marshall Medical Center South | Boaz, AL | $262K |
| Marshall Medical Center South Medical Oncology Services | Boaz, AL | $103K |
| Marshall Medical Center South | Boaz, AL | $60K |
| Marshall Medical Center North | Guntersville, AL | $43K |
| Marshall Medical Center South Medical Specialists of North Alabama | Guntersville, AL | $18K |
| Marshall Medical Center South Burson Urology | Boaz, AL | $10K |
| Marshall Medical Center South | Boaz, AL | $694.65 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.