Cullman Medical and Pediatric Associates
Cullman Medical and Pediatric Associates was paid $358K by Medicaid between Jan 2018 and Jul 2019, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoCULLMAN MEDICAL AND PEDIATRIC ASSOCIATES
CULLMAN, AL 35058
CULLMAN, AL 35058
33aNPI1134211493assigned 09/28/2006
33bProvider typeSpecialist
28Total paid$358K
24GClaims18,219
24DCodes billed27
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#39 of 162
Median peer was paid$49K
This provider vs. median7.3×
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 | 12,037 | $239K | |
| 2019 | 6,182 | $119K |
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 | 57% | 4,000 | 3,605 | $204K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 524 | 438 | $30K |
| 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 | 6.5% | 352 | 294 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 390 | 361 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 275 | 257 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.1% | 1,191 | 1,114 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.0% | 726 | 675 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 180 | 176 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 170 | 156 | $4K |
| 90647 | 1.1% | 210 | 205 | $4K | |
| 90670 | 1.0% | 201 | 191 | $4K | |
| 92551 | <1% | 613 | 576 | $3K |
15 more codes
| 90723 | <1% | 117 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 55 | $2K |
| 90680 | <1% | 98 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 70 | $2K |
| 90633 | <1% | 51 | $949.92 | |
| 90686 | <1% | 48 | $860.12 | |
| 99173 | <1% | 674 | $792.41 | |
| 90734 | <1% | 17 | $316.64 | |
| 36416 | <1% | 103 | $227.50 | |
| 87807 | <1% | 29 | $176.00 | |
| 3074F | 0% | 3,696 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 674 | $0.00 |
| 3079F | 0% | 262 | $0.00 | |
| 3078F | 0% | 3,475 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 18 | $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 officialADDISON, MARK (PRESIDENT)