Physician
Haleyville Medical Associates INC
Haleyville Medical Associates INC was paid $3.90M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoHALEYVILLE MEDICAL ASSOCIATES INC
HALEYVILLE, AL 35565
HALEYVILLE, AL 35565
33aNPI1104922368assigned 09/15/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.90M
24GClaims144,159
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#12 of 455
Median peer was paid$57K
This provider vs. median68×
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 | 25,461 | $574K | |
| 2019 | 27,714 | $647K | |
| 2020 | 20,726 | $537K | |
| 2021 | 21,690 | $625K | |
| 2022 | 19,904 | $633K | |
| 2023 | 17,721 | $497K | |
| 2024incomplete | 10,943 | $386K |
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 | 67% | 53,467 | 47,777 | $2.63M |
| 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 | 11% | 7,022 | 6,461 | $432K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 11,200 | 5,661 | $112K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 13,585 | 12,641 | $91K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 6,725 | 6,417 | $85K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.0% | 3,215 | 3,079 | $79K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.0% | 10,646 | 9,375 | $77K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 680 | 645 | $55K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.2% | 218 | 216 | $45K |
| Q3014 | Telehealth originating site facility fee | 1.1% | 3,719 | 3,497 | $42K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 1,886 | 894 | $39K |
| 99310 | Prolong nursin fac eval 15m | <1% | 1,356 | 1,279 | $35K |
59 more codes
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 2,980 | $28K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 817 | $23K |
| 80053 | Comprehensive metabolic panel | <1% | 3,642 | $23K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 658 | $17K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 442 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 925 | $11K |
| 80061 | Lipid panel | <1% | 1,358 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 106 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 85 | $6K |
| 81003 | <1% | 2,764 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 826 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 282 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 83 | $4K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,388 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,110 | $3K |
| J2010 | Injection, lincomycin hcl, up to 300 mg | <1% | 172 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 139 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 90674 | <1% | 166 | $2K | |
| 99497 | <1% | 177 | $1K | |
| 87807 | <1% | 117 | $1K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 67 | $1K |
| 86756 | <1% | 63 | $992.00 | |
| 87428 | <1% | 18 | $925.92 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $910.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 123 | $904.71 |
| 80305 | <1% | 122 | $889.95 | |
| 90656 | <1% | 46 | $786.60 | |
| 86308 | <1% | 135 | $737.28 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 25 | $391.09 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 27 | $352.26 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,484 | $326.43 |
| 84436 | <1% | 73 | $322.00 | |
| 83655 | <1% | 16 | $180.00 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 15 | $92.88 |
| 84703 | <1% | 13 | $70.60 | |
| 82948 | <1% | 41 | $68.00 | |
| 81025 | <1% | 21 | $63.00 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 14 | $57.64 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 58 | $40.48 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 52 | $40.00 |
| 99490 | Ccm add 20min | <1% | 15 | $20.72 |
| G8421 | Bmi not documented and no reason is given | 0% | 258 | $0.00 |
| 90756 | 0% | 68 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 30 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 30 | $0.00 |
| 3078F | 0% | 48 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 59 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 86 | $0.00 |
| 99406 | 0% | 1,295 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 30 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 537 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 2,130 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,531 | $0.00 |
| 3074F | 0% | 50 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 324 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 162 | $0.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 59 | $0.00 |
| 99000 | 0% | 50 | $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 officialREDDY, VIJAYA (PRACTICE MANAGER)