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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPractice-monroeville Inc
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    Practice-monroeville Inc — Billing Profile & Reimbursement Data

    NPI 1972606531 · Monroeville, AL · Clinic/Center

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    Practice-monroeville Inc is a clinic/center provider located in Monroeville, Alabama. This profile covers 0 Medicare and 55 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
    OrganizationPractice-monroeville Inc
    Address1075 Drewry Rd
    CityMonroeville
    StateAL
    ZIP36460
    TaxonomyClinic/Center
    NPI EnumeratedSeptember 7, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.8M
    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.

    55 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive29,200$110$3.2M
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…1,090$80$83.8K
    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.4,060$20$81.2K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.640$120$75K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…2,780$30$69.4K
    J1050Injection, medroxyprogesterone acetate, 1 mg990$50$45.4K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.2,440$10$31.7K
    H1000Prenatal care, at-risk assessment360$60$21.2K
    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…16,460$1$16.5K
    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…2,400$10$14.4K

    Showing 1–10 of 55

    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

    55 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive502406,820$120$2.9M
    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…8321,990680$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…1411,990560$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…1002701,360$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…1133001,160$50$147.8K
    99460The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.5680220$70$103.1K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.123320640$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.216230410$40$59.2K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.96300330$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…90260910$20$47.2K

    Showing 1–10 of 55

    Nearby Providers

    Other providers in the same ZIP code as Practice-monroeville Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monroe County Health Care AuthorityALCritical Access Hospital$0$1.8M
    Monroe County Health Care AuthorityALRural Health Clinic/Center$0$1.7M
    Bio-medical Applications Of Alabama, Inc.ALEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$926.5K
    Nes Tennessee IncALEmergency Medicine Physician$0$911.1K
    Pamala GibbsALInternal Medicine Physician$143.3K$0
    Albert BoroughsALFamily Medicine Physician$120.1K$0
    Irene KlopnerALFamily Nurse Practitioner$27.4K$0
    Michael McbethALEmergency Medicine Physician$19.5K$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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Practice-monroeville Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama