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

Pickens County Health Care Authority

Pickens County Health Care Authority was paid $150K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider infoPICKENS COUNTY HEALTH CARE AUTHORITY
CARROLLTON, AL 35447
33aNPI1093069569assigned 11/05/2012
28Total paid$150K
24GClaims8,082
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Emergency Medicine Physician providers in Alabama

Rank by total paid#58 of 105
Median peer was paid$247K
This provider vs. median0.6×

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$5.0K$10K$15K2018201920202021202220232024
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
20183,878$86K
20193,525$53K
2020679$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 33% 1,944 1,695 $49K
99282 Emergency department visit for the evaluation and management, low to moderate severity 30% 3,578 2,996 $46K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 782 684 $32K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.0% 326 307 $11K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.5% 263 135 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.0% 1,174 939 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 15 12 $101.40

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 officialMCELROY, HENRY (ADMINISTRATOR)
Parent organizationPICKENS COUNTY HEALTH CARE AUTHORITY
Same official

Other billing entities under MCELROY, HENRY

Full network →
ProviderLocationPaid
Pickens County Health Care AuthorityCarrollton, AL$273K
Pickens County Health Care AuthorityCarrollton, AL$714.62

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