Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Sheffield › NPI 1083937452
Physician

NW Alabama Practice Management, LLC

NW Alabama Practice Management, LLC was paid $364K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 23% of everything it billed.

33Billing provider infoNW ALABAMA PRACTICE MANAGEMENT, LLC
SHEFFIELD, AL 35660
33aNPI1083937452assigned 03/12/2010
33bProvider typeHospitalist Physician
28Total paid$364K
24GClaims16,114
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Hospitalist Physician providers in Alabama

Rank by total paid#13 of 47
Median peer was paid$144K
This provider vs. median2.5×

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$10K$20K$30K2018201920202021202220232024
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
2018432$3K
2019762$7K
20201,939$30K
20213,331$65K
20223,812$87K
20233,341$95K
2024incomplete2,497$77K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 23% 779 757 $83K
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 22% 1,772 1,495 $81K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15% 1,114 995 $55K
95117 12% 4,988 2,565 $45K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.6% 1,422 982 $31K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 5.1% 21 12 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4.4% 298 225 $16K
95115 2.1% 1,269 528 $8K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.0% 226 206 $7K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.4% 58 27 $5K
76801 1.2% 122 80 $4K
99205 Prolong outpt/office vis <1% 70 53 $4K
10 more codes
36415 Collection of venous blood by venipuncture <1% 2,433 $3K
H1000 Prenatal care, at-risk assessment <1% 18 $1K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 18 $850.64
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 21 $611.00
92567 <1% 43 $442.26
0500F 0% 70 $0.00
3074F 0% 826 $0.00
3079F 0% 19 $0.00
0502F 0% 376 $0.00
3078F 0% 151 $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 officialWESTMORLAND, PENNY (CFO)
Parent organizationCOLBERT COUNTY NW ALABAMA HEALTHCARE AUTHORITY