Physician
Cullman Primary Care, PC
Cullman Primary Care, PC was paid $1.67M by Medicaid between Jan 2018 and Sep 2023, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoCULLMAN PRIMARY CARE, PC
CULLMAN, AL 35058
CULLMAN, AL 35058
33aNPI1164743068assigned 06/15/2010
33bProvider typeFamily Medicine Physician
28Total paid$1.67M
24GClaims152,994
24DCodes billed64
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#26 of 455
Median peer was paid$57K
This provider vs. median29×
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 | 11,268 | $126K | |
| 2019 | 22,399 | $247K | |
| 2020 | 19,620 | $236K | |
| 2021 | 36,862 | $400K | |
| 2022 | 35,505 | $458K | |
| 2023 | 27,340 | $199K |
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 | 49% | 17,227 | 13,522 | $820K |
| 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 | 21% | 5,785 | 4,006 | $357K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 2,615 | 2,073 | $135K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 1,877 | 1,460 | $92K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 4,520 | 3,347 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 834 | 628 | $39K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 2,558 | 1,617 | $33K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 339 | 250 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 1,254 | 714 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 332 | 203 | $12K |
| 99173 | <1% | 3,262 | 2,408 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 385 | 293 | $10K |
52 more codes
| 90670 | <1% | 1,350 | $9K | |
| 92551 | <1% | 2,650 | $9K | |
| 99460 | <1% | 234 | $7K | |
| 90686 | <1% | 923 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,049 | $6K |
| 90680 | <1% | 921 | $5K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 292 | $4K |
| 90723 | <1% | 569 | $4K | |
| 90633 | <1% | 558 | $3K | |
| 99381 | <1% | 85 | $3K | |
| 90647 | <1% | 400 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 19 | $3K |
| 99462 | <1% | 127 | $2K | |
| 90697 | <1% | 380 | $2K | |
| 90648 | <1% | 231 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,087 | $1K |
| 90674 | <1% | 133 | $1K | |
| 81003 | <1% | 484 | $1K | |
| 90671 | <1% | 207 | $992.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | $926.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 131 | $911.80 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 141 | $848.00 |
| 87807 | <1% | 98 | $814.00 | |
| 90651 | <1% | 83 | $248.00 | |
| 36416 | <1% | 88 | $105.00 | |
| 90700 | <1% | 24 | $80.00 | |
| 85014 | <1% | 490 | $30.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 27 | $20.00 |
| 3078F | 0% | 13,190 | $0.00 | |
| 1159F | 0% | 10,079 | $0.00 | |
| 4274F | 0% | 778 | $0.00 | |
| 1160F | 0% | 9,911 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,080 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 128 | $0.00 |
| 3028F | 0% | 1,546 | $0.00 | |
| 4040F | 0% | 265 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,589 | $0.00 |
| 2010F | 0% | 11,383 | $0.00 | |
| 3074F | 0% | 14,610 | $0.00 | |
| 3008F | 0% | 15,153 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 422 | $0.00 |
| 2000F | 0% | 7,806 | $0.00 | |
| 1125F | 0% | 129 | $0.00 | |
| 1036F | 0% | 593 | $0.00 | |
| 3079F | 0% | 427 | $0.00 | |
| 3037F | 0% | 768 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 2,043 | $0.00 |
| 2001F | 0% | 5,196 | $0.00 | |
| 1000F | 0% | 615 | $0.00 | |
| 1126F | 0% | 326 | $0.00 | |
| 1030F | 0% | 56 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 78 | $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)
Parent organizationCULLMAN PRIMARY CARE, PC
| Provider | Location | Paid |
|---|---|---|
| Cullman Primary Care, PC | Cullman, AL | $1.13M |
| Cullman Primary Care, PC | Cullman, AL | $797K |
| Cullman Primary Care, PC | Cullman, AL | $280K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.