Physician
Highlands Family Medicine, LLC
Highlands Family Medicine, LLC was paid $245K by Medicaid between Jan 2018 and May 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoHIGHLANDS FAMILY MEDICINE, LLC
SCOTTSBORO, AL 35768
SCOTTSBORO, AL 35768
33aNPI1013273119assigned 04/03/2012
33bProvider typeFamily Medicine Physician
28Total paid$245K
24GClaims4,610
24DCodes billed12
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#129 of 455
Median peer was paid$57K
This provider vs. median4.3×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,099 | $59K | |
| 2019 | 1,241 | $66K | |
| 2020 | 582 | $31K | |
| 2021 | 399 | $22K | |
| 2022 | 523 | $28K | |
| 2023 | 592 | $29K | |
| 2024incomplete | 174 | $10K |
Box 24 · Service lines
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 | 94% | 4,040 | 3,443 | $230K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2.7% | 74 | 69 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 183 | 173 | $2K |
| 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 | <1% | 41 | 39 | $2K |
| 87428 | <1% | 43 | 42 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 109 | 102 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | 14 | $369.18 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 14 | 13 | $298.02 |
| 90686 | <1% | 12 | 12 | $197.90 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | 13 | $18.00 |
| 3074F | 0% | 52 | 49 | $0.00 | |
| 3079F | 0% | 13 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialGRIDER, KAREN (DIRECTOR OF PHYSICIAN SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Scottsboro Urgent Care | Scottsboro, AL | $13K |
| Highlands Surgical Services LLC | Scottsboro, AL | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.