Physician
Professional Medical Associates PC
Professional Medical Associates PC was paid $388K by Medicaid between Jan 2018 and Oct 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoPROFESSIONAL MEDICAL ASSOCIATES PC
ENTERPRISE, AL 36330
ENTERPRISE, AL 36330
33aNPI1063476836assigned 04/17/2006
33bProvider typeInternal Medicine Physician
28Total paid$388K
24GClaims15,263
24DCodes billed28
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Alabama
Rank by total paid#34 of 225
Median peer was paid$17K
This provider vs. median22×
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 | 2,631 | $43K | |
| 2019 | 2,567 | $38K | |
| 2020 | 2,030 | $55K | |
| 2021 | 3,511 | $92K | |
| 2022 | 2,019 | $60K | |
| 2023 | 1,513 | $69K | |
| 2024incomplete | 992 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 4,683 | 4,001 | $235K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,696 | 1,492 | $72K |
| 99490 | Ccm add 20min | 7.6% | 3,244 | 3,180 | $29K |
| 99307 | 2.3% | 1,199 | 1,165 | $9K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.9% | 858 | 791 | $7K |
| 80050 | General health panel | 1.8% | 157 | 152 | $7K |
| 80061 | Lipid panel | 1.8% | 733 | 585 | $7K |
| 80053 | Comprehensive metabolic panel | 1.3% | 760 | 570 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.0% | 479 | 439 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 68 | 63 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 759 | 550 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 13 | $2K |
16 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 40 | $664.97 |
| 90674 | <1% | 28 | $565.82 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 23 | $492.49 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $140.00 |
| 99318 | <1% | 13 | $108.80 | |
| 81003 | <1% | 39 | $87.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $65.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 83 | $37.97 |
| 3008F | 0% | 125 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 79 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 37 | $0.00 |
| 3044F | 0% | 26 | $0.00 | |
| 3074F | 0% | 20 | $0.00 | |
| 1160F | 0% | 14 | $0.00 | |
| 3078F | 0% | 43 | $0.00 | |
| 1159F | 0% | 14 | $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 officialSENN, MELANIE (BUSINESS OFFICE MANAGER)