Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pickens County Primary Care, P.C

Pickens County Primary Care, P.C was paid $634K by Medicaid between Dec 2019 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.

33Billing provider infoPICKENS COUNTY PRIMARY CARE, P.C
GORDO, AL 35466
33aNPI1063988806assigned 10/19/2018
28Total paid$634K
24GClaims11,039
24DCodes billed18
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Alabama

Rank by total paid#72 of 455
Median peer was paid$57K
This provider vs. median11×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201952$4K
20201,360$71K
20211,517$105K
20222,679$155K
20233,954$208K
2024incomplete1,477$91K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 94% 5,246 3,871 $599K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 2,480 2,174 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.2% 309 293 $7K
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% 689 598 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 440 201 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 196 184 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 24 23 $1K
99173 <1% 224 208 $845.00
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 362 321 $822.40
92551 <1% 179 174 $805.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 479 429 $723.32
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 221 136 $607.62
6 more codes
90791 Psychiatric diagnostic evaluation <1% 27 $342.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 47 $310.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 15 $189.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 $36.46
90686 <1% 46 $21.52
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 41 $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 officialBOOTHE, JULIA (OWNER)
Parent organizationPICKENS COUNTY PRIMARY CARE, P.C
Same official

Other billing entities under BOOTHE, JULIA

Full network →
ProviderLocationPaid
Pickens County Primary Care PCReform, AL$1.54M
Pickens County Primary Care, PCReform, AL$882K
Pickens County Primary Care, P.CReform, AL$410K
Pickens County Primary Care, PCGordo, AL$138K
JLBMD Consulting, PCReform, AL$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.