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    OpenPayerNPI Medicare & MedicaidIvy Creek Of Elmore LLC
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    Ivy Creek Of Elmore LLC — Billing Profile & Reimbursement Data

    NPI 1316246812 · Wetumpka, AL · Rural Health Clinic/Center

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    Ivy Creek Of Elmore LLC is a rural health clinic/center provider located in Wetumpka, Alabama. This profile covers 0 Medicare and 60 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
    OrganizationIvy Creek Of Elmore LLC
    Address815 Jackson Trace Rd
    CityWetumpka
    StateAL
    ZIP36092
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedMarch 23, 2011

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

    Payer SourceTotal Paid
    Medicaid$8M
    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive81,460$100$7.7M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…48,620$1$48.6K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…4,450$10$26.7K
    90680This code represents a live pentavalent rotavirus vaccine given by mouth in a three–dose schedule to protect against rotavirus infection.3,490$1$13.9K
    90716The provider administers a live vaccine subcutaneously to protect against varicella infection.2,360$10$11.8K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…1,010$10$10.1K
    92551The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.9,780$1$9.8K
    90633This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.2,430$1$9.7K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.4,860$1$9.7K
    90697This code represents a combination vaccine product administered into the muscle to protect against six diseases: diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type b (Hib), and…1,930$10$9.7K

    Showing 1–10 of 60

    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

    60 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive172406,820$120$2.9M
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…89100470$130$1.2M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…6581,990680$60$201.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…281,990560$40$185.6K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…352701,360$60$159.7K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…313001,160$50$147.8K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.30320640$50$98.1K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.14230410$40$59.2K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.13300330$50$56.3K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…37260910$20$47.2K

    Showing 1–10 of 60

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ivy Creek Of Elmore LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ivy Creek Of Elmore, LLCALRural Health Clinic/Center$0$1.2M
    Ivy Creek Of Elmore, LLCALGeneral Acute Care Hospital$0$1.1M
    Jonathan MarshallNYDiagnostic Radiology Physician$761.9K$4.4K
    Louba LaurieILDiagnostic Radiology Physician$184.7K$453.6K
    Andrew HutchensTNDiagnostic Radiology Physician$424.1K$0
    Vineet SharmaTNDiagnostic Radiology Physician$286.1K$63.3K
    Sreechandra DonepudiAZDiagnostic Radiology Physician$273.4K$52.6K
    Satyam VeeanTXVascular & Interventional Radiology Physician$281.1K$0
    Lowell EllerbrookTXDiagnostic Radiology Physician$257.2K$0
    Mina TadrosTNDiagnostic Radiology Physician$243.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Ivy Creek Of Elmore LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Haynes Ambulance Of Elmore County, L.L.C.ALLand Ambulance$730.3K$2.2M
    Haynes Life Flight LLCALAir Ambulance$745.6K$1.1M
    Elmore County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$1.1M
    Spencer ColemanALFamily Medicine Physician$127.8K$0
    Joseph VinsonALPhysical Therapist$94.5K$0
    Jason WeaverALPhysical Therapist$78.5K$0
    Melissa MyerALPhysical Therapist$70.5K$0
    Tommy GarnettALPublic Medicine Podiatrist$38.7K$0
    Alexandra GrossALFamily Nurse Practitioner$35K$0
    James MracekALInternal Medicine Physician$27.6K$0

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Ivy Creek Of Elmore LLC — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama