Andalusia Physician Practices LLC
Andalusia Physician Practices LLC was paid $847K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
ANDALUSIA, AL 36420
Next to other Internal Medicine Physician providers in Alabama
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,046 | $21K | |
| 2019 | 10,148 | $76K | |
| 2020 | 4,188 | $59K | |
| 2021 | 4,107 | $93K | |
| 2022 | 7,248 | $82K | |
| 2023 | 18,321 | $266K | |
| 2024incomplete | 9,895 | $250K |
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 | 55% | 20,743 | 12,539 | $463K |
| 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 | 19% | 6,431 | 3,450 | $161K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 1,861 | 715 | $38K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 1,072 | 762 | $34K |
| 87428 | 3.8% | 1,489 | 834 | $32K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 762 | 487 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 3,790 | 1,916 | $21K |
| 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 | 1.7% | 553 | 264 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 530 | 320 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 878 | 598 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 410 | 235 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 153 | 112 | $5K |
45 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,181 | $4K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 157 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 303 | $3K |
| 99460 | <1% | 75 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 66 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 92 | $2K |
| 87634 | <1% | 82 | $2K | |
| 87807 | <1% | 282 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 50 | $1K |
| 99462 | <1% | 75 | $1K | |
| 90670 | <1% | 887 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 591 | $1K |
| 99173 | <1% | 930 | $1K | |
| 81002 | <1% | 1,131 | $853.37 | |
| 90648 | <1% | 426 | $744.00 | |
| 90686 | <1% | 178 | $611.03 | |
| 90680 | <1% | 635 | $576.00 | |
| 92551 | <1% | 388 | $567.90 | |
| 90633 | <1% | 61 | $192.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 532 | $179.20 |
| 90677 | <1% | 68 | $176.00 | |
| 96161 | <1% | 430 | $129.36 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 192 | $105.50 |
| 20610 | <1% | 21 | $97.66 | |
| 90723 | <1% | 34 | $88.00 | |
| 73110 | <1% | 29 | $68.28 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 355 | $64.54 |
| 81003 | <1% | 128 | $57.00 | |
| 36416 | <1% | 58 | $30.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 21 | $24.17 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 22 | $15.00 |
| 3008F | 0% | 1,461 | $0.00 | |
| 1036F | 0% | 410 | $0.00 | |
| 99000 | 0% | 178 | $0.00 | |
| 3074F | 0% | 364 | $0.00 | |
| 81000 | 0% | 175 | $0.00 | |
| 1125F | 0% | 17 | $0.00 | |
| 3079F | 0% | 27 | $0.00 | |
| 1126F | 0% | 14 | $0.00 | |
| 1159F | 0% | 1,651 | $0.00 | |
| 3078F | 0% | 475 | $0.00 | |
| 1160F | 0% | 1,054 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 27 | $0.00 |
| 90461 | 0% | 850 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,098 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Rchp-Wilmington, LLC | Wilmington, OH | $13.53M |
| Providence Hospital, LLC | Columbia, SC | $12.68M |
| Vaughan Regional Medical Center LLC | Selma, AL | $8.15M |
| Kershaw Hospital LLC | Camden, SC | $7.93M |
| Bolivar Physician Practices LLC | Cleveland, MS | $3.05M |
| Wilmington Physicians Group LLC | Wilmington, OH | $3.04M |
| Phc-Morgan City LP | Morgan City, LA | $2.37M |
| Community Hospital of Andalusia LLC | Andalusia, AL | $2.27M |
| Vaughan Regional Medical Center LLC | Marion, AL | $2.15M |
| PRHC Ennis LP | Ennis, TX | $1.81M |
| Meadowview Physician Practice LLC | Maysville, KY | $783K |
| Logan Physician Practice LLC | Auburn, KY | $458K |
| Logan Physician Practice LLC | Russellville, KY | $317K |
| Kentucky Mso LLC | Georgetown, KY | $248K |
| Rchp-Wilmington, LLC | Wilmington, OH | $165K |
| Meadowview Physician Practice LLC | Maysville, KY | $140K |
| Amg-Southern Tennessee LLC | Monteagle, TN | $136K |
| Lake Cumberland Physician Practices LLC | Somerset, KY | $135K |
| Lake Cumberland Physician Practices LLC | Somerset, KY | $57K |
| Kershaw Hospital LLC | Lugoff, SC | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.