Physician
Cullman Primary Care, PC
Cullman Primary Care, PC was paid $280K by Medicaid between Jan 2018 and Dec 2023, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoCULLMAN PRIMARY CARE, PC
CULLMAN, AL 35055
CULLMAN, AL 35055
33aNPI1114238243assigned 06/23/2010
33bProvider typeFamily Medicine Physician
28Total paid$280K
24GClaims54,784
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#121 of 455
Median peer was paid$57K
This provider vs. median4.9×
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 | 2,382 | $51K | |
| 2019 | 6,522 | $59K | |
| 2020 | 9,973 | $33K | |
| 2021 | 11,559 | $39K | |
| 2022 | 9,656 | $36K | |
| 2023 | 14,692 | $62K |
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 | 61% | 4,873 | 3,167 | $170K |
| 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 | 35% | 1,905 | 1,240 | $98K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 735 | 238 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 593 | 375 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 43 | 17 | $784.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 50 | 28 | $632.88 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 42 | 15 | $560.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 325 | 194 | $330.00 |
| 92551 | <1% | 183 | 76 | $212.60 | |
| 99173 | <1% | 188 | 79 | $208.00 | |
| 1159F | 0% | 3,604 | 2,374 | $0.00 | |
| 3028F | 0% | 3,465 | 2,158 | $0.00 |
15 more codes
| 3078F | 0% | 4,449 | $0.00 | |
| 1026F | 0% | 1,532 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,115 | $0.00 |
| 1160F | 0% | 3,451 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| 3074F | 0% | 4,952 | $0.00 | |
| 3037F | 0% | 3,734 | $0.00 | |
| 2010F | 0% | 4,292 | $0.00 | |
| 3008F | 0% | 4,448 | $0.00 | |
| 3079F | 0% | 114 | $0.00 | |
| 1000F | 0% | 836 | $0.00 | |
| 1036F | 0% | 893 | $0.00 | |
| 2000F | 0% | 3,817 | $0.00 | |
| 2001F | 0% | 1,941 | $0.00 | |
| 1034F | 0% | 190 | $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 officialBLANKENSHIP, CONNIE (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Cullman Primary Care, PC | Cullman, AL | $1.67M |
| Cullman Primary Care, PC | Cullman, AL | $1.13M |
| Cullman Primary Care, PC | Cullman, AL | $797K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.