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NPI 1447221056 · Huntsville, AL · General Acute Care Hospital
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The Health Care Authority Of The City Of Huntsville is a general acute care hospital provider located in Huntsville, Alabama. This profile covers 0 Medicare and 192 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | The Health Care Authority Of The City Of Huntsville |
| Address | 101 Sivley Rd Sw |
| City | Huntsville |
| State | AL |
| ZIP | 35801 |
| Taxonomy | General Acute Care Hospital |
| NPI Enumerated | January 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $17.8M |
| Medicare | $0 |
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE reports no Medicare billing on file and $17.8M in lifetime Medicaid revenue, making its visible payer footprint effectively single‑payer (Medicaid) in this dataset. Analysts should treat comparisons to Medicare activity as not applicable for this NPI because there are no Medicare claims to evaluate.
Revenue is highly concentrated in a small set of outpatient/ED visit codes: the precomputed top three Medicaid codes (99284, 99283, G0463) account for 58.7% of the provider’s total Medicaid revenue. Specifically, 99284 accounts for $4M (25.3%), 99283 for $3.5M (22.5%), and G0463 for $1.7M (10.8%), indicating a few services drive the majority of reported Medicaid dollars.
The code mix points to an operations model built around high emergency department throughput and outpatient clinic evaluation and management combined with on‑site diagnostics. High-volume ED E/M codes (99284, 99283, 99282) plus the hospital outpatient clinic visit code G0463, together with large claim counts for laboratory panels and imaging, suggest the hospital functions as an acute care facility with substantial ED and outpatient assessment activity.
State competitive standing is uneven but strong in ED and basic lab volumes: 99283 ranks #5 of 230 in-state (98th percentile, labeled an "extreme outlier") and 99282 ranks #3 of 134 (98th percentile, also an "extreme outlier"), meaning the provider has unusually high Medicaid volume for lower‑level ED visits in Alabama. By contrast, 99285 is only at the 54th percentile (rank #90 of 193), indicating the provider is less dominant for the highest‑complexity ED visits.
Laboratory testing shows very high claim counts but low per‑claim payments, concentrating volume but producing modest revenue per test. For example, 85025 shows 70.6K claims at $9 avg paid/claim for $635.5K revenue (4.1% of Medicaid revenue), and 80048 shows 21.8K claims at $8 avg paid/claim for $174.5K revenue (1.1%), indicating reliance on volume-intensive, low‑unit‑price lab work.
The provider performs a mix of diagnostic and interventional procedures beyond ED visits: 43239 (endoscopic biopsy) generated $297.4K (1.9% of Medicaid revenue) and ranks #7 of 64 (90th percentile), while 64493 (lumbar facet injection) produced $254.4K (1.6%) and ranks #2 of 13 (92nd percentile, "notably above typical"), signaling capacity for endoscopy and image‑guided pain procedures in addition to emergency and outpatient services.
Certain high‑paid services contribute meaningful revenue despite smaller claim counts, reflecting a complementary revenue stream to volume‑driven ED/lab activity. Examples include 87633 with 2.9K claims at $219 avg paid/claim for $624.4K revenue and 99285 with 1.9K claims at $264 avg paid/claim for $490.5K revenue, showing that multiplex respiratory testing and high‑complexity ED visits support material dollars per encounter.
The provider’s NPI was enumerated on 2006-01-31 (~20 years ago), indicating an established presence in the market; combined with the absence of Medicare billing and $17.8M in Medicaid revenue, the billing profile characterizes this entity as a long‑standing, Medicaid‑dependent acute care hospital with concentrated revenue in ED/clinic E/M and high-volume diagnostic services.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
192 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99284 | The 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. | 55,910 | $70 | $4M |
| 99283 | The 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. | 82,120 | $40 | $3.5M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 60,500 | $30 | $1.7M |
| 99282 | The 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. | 23,860 | $40 | $930.4K |
| 85025 | A 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… | 70,610 | $10 | $635.5K |
| 87633 | The 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… | 2,850 | $220 | $624.4K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 10,980 | $50 | $570.9K |
| 99285 | The 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. | 1,860 | $260 | $490.5K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 1,180 | $250 | $297.4K |
| 80053 | The 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. | 21,220 | $10 | $275.9K |
Showing 1–10 of 192
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
192 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 22 | 60 | 1,260 | $60 | $1.2M |
| 87633 | The 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… | 22 | 100 | 470 | $130 | $1.2M |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 9 | 70 | 380 | $60 | $893.8K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 4 | 40 | 1,020 | $40 | $865.2K |
| 99284 | The 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. | 10 | 240 | 4,820 | $60 | $807.6K |
| 99285 | The 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. | 90 | 190 | 1,480 | $100 | $730.7K |
| 99283 | The 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. | 5 | 230 | 5,160 | $40 | $474.1K |
| 92507 | The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with… | 103 | 180 | 1,490 | $50 | $404.5K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 5 | 40 | 430 | $10 | $391.5K |
| 87581 | The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique. | 17 | 40 | 1,440 | $20 | $372.1K |
Showing 1–10 of 192
Other providers in the same ZIP code as The Health Care Authority Of The City Of Huntsville, ranked by combined Medicare and Medicaid revenue.
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