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    OpenPayerNPI Medicare & MedicaidThe Health Care Authority Of The City Of Anniston
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    The Health Care Authority Of The City Of Anniston — Billing Profile & Reimbursement Data

    NPI 1215976675 · Anniston, AL · General Acute Care Hospital

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    The Health Care Authority Of The City Of Anniston is a general acute care hospital provider located in Anniston, Alabama. This profile covers 0 Medicare and 54 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Health Care Authority Of The City Of Anniston
    Address301 E 18th St
    CityAnniston
    StateAL
    ZIP36207
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.8,130$50$382.1K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.10,920$30$294.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…7,080$10$49.6K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.3,500$10$42K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.5,190$10$41.5K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.1,720$20$32.7K
    87070The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…2,380$10$21.4K
    87088The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.3,030$10$21.2K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.2,160$10$19.4K
    87400The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.3,120$10$15.6K

    Showing 1–10 of 54

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alabama median

    54 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.942404,820$60$807.6K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.1771901,480$100$730.7K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.752305,160$40$474.1K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…7070550$50$210.5K
    00170The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.3140110$150$205.8K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.82100610$40$152.5K
    D9420N/A1820230$170$110.9K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.43130420$40$106K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.682002,000$10$105.9K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.78110340$30$90.9K

    Showing 1–10 of 54

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Health Care Authority Of The City Of Anniston, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Health Care Authority Of The City Of AnnistonALGeneral Acute Care Hospital$0$5.6M
    Mahomed SalameALCardiovascular Disease Physician$1M$0
    Mohammad KamranALCardiovascular Disease Physician$364.3K$0
    Osita OnyekwereALSpecialist$313.5K$0
    John NwoguALCardiovascular Disease Physician$239.7K$0
    Vance MooreALFamily Medicine Physician$218.9K$0
    John ValenteALSurgery Physician$156.7K$0
    Edwin KeelALFamily Medicine Physician$151.5K$0
    David HopperALFamily Medicine Physician$133.5K$0
    John BurnettILRadiation Oncology Physician$132.7K$0

    Nearby Providers

    Other providers in the same ZIP code as The Health Care Authority Of The City Of Anniston, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatrics Plus, P.C.ALPediatric Nurse Practitioner$0$14.3M
    Pulmonary Care Services IncALDurable Medical Equipment & Medical Supplies$0$8M
    Anniston Pediatrics, IncALPediatrics Physician$0$5.7M
    Grow Pediatric Therapy LLCALSpeech-Language Pathologist$0$2.3M
    Angela M. Martin, M.d. F.a.a.p.ALPediatrics Physician$0$2.1M
    Robert ConryALHematology & Oncology Physician$2.1M$0
    North Alabama Women's CenterALSpecialist$0$1.9M
    Vishala ChindaloreALRheumatology Physician$1.7M$0
    Regional Health Management CorporationALPsychiatry Physician$0$1.6M
    New Beacon Healthcare Group, LLCALCommunity Based Hospice Care Agency$0$1.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Alabama Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    The Health Care Authority Of The City Of Anniston — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama