Physician
Medical Associates of the Shoals, P.C.
Medical Associates of the Shoals, P.C. was paid $52K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMEDICAL ASSOCIATES OF THE SHOALS, P.C.
SHEFFIELD, AL 35660
SHEFFIELD, AL 35660
33aNPI1093881468assigned 11/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$52K
24GClaims10,761
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#230 of 455
Median peer was paid$57K
This provider vs. median0.9×
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 | 2,853 | $3K | |
| 2019 | 1,811 | $3K | |
| 2020 | 642 | $4K | |
| 2021 | 766 | $6K | |
| 2022 | 1,454 | $8K | |
| 2023 | 1,518 | $9K | |
| 2024incomplete | 1,717 | $20K |
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 | 39% | 1,279 | 1,135 | $20K |
| 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 | 33% | 3,425 | 2,637 | $17K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 14% | 35 | 30 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 7.0% | 173 | 161 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 138 | 128 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 93 | 46 | $911.84 |
| 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% | 14 | 14 | $483.40 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 117 | 83 | $353.41 |
| 82607 | <1% | 19 | 13 | $68.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 484 | 356 | $31.76 |
| 81003 | <1% | 300 | 212 | $18.40 | |
| 80053 | Comprehensive metabolic panel | <1% | 426 | 306 | $10.78 |
18 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 40 | $1.32 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,011 | $0.00 |
| 83721 | 0% | 119 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 86 | $0.00 |
| 80061 | Lipid panel | 0% | 158 | $0.00 |
| 3078F | 0% | 342 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 61 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 24 | $0.00 |
| 99497 | 0% | 24 | $0.00 | |
| 84439 | 0% | 22 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 45 | $0.00 |
| 3074F | 0% | 340 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,265 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 605 | $0.00 |
| 90688 | 0% | 21 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 34 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 42 | $0.00 |
| 83735 | 0% | 19 | $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 officialVACIK, JOSHUA (PHYSICIAN)