Physician
Doctors Med Care of Fort Payne, P.C.
Doctors Med Care of Fort Payne, P.C. was paid $493K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoDOCTORS MED CARE OF FORT PAYNE, P.C.
FORT PAYNE, AL 35967
FORT PAYNE, AL 35967
33aNPI1225065022assigned 06/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$493K
24GClaims36,074
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#79 of 455
Median peer was paid$57K
This provider vs. median8.7×
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 | 4,566 | $59K | |
| 2019 | 6,641 | $80K | |
| 2020 | 3,167 | $54K | |
| 2021 | 5,481 | $87K | |
| 2022 | 6,544 | $90K | |
| 2023 | 6,727 | $76K | |
| 2024incomplete | 2,948 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 4,017 | 3,436 | $198K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,576 | 1,358 | $53K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.7% | 5,388 | 2,388 | $48K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 8.3% | 1,787 | 1,602 | $41K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.6% | 740 | 700 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 410 | 377 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.9% | 3,581 | 2,987 | $24K |
| 87430 | 4.5% | 1,964 | 1,739 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 2,150 | 1,784 | $15K |
| 71046 | Radiologic examination, chest; 2 views | 1.8% | 672 | 559 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 124 | 106 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 212 | 201 | $5K |
19 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 44 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 111 | $4K |
| 70210 | <1% | 198 | $3K | |
| 84703 | <1% | 242 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 644 | $996.53 |
| 86308 | <1% | 179 | $875.42 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 912 | $755.51 |
| 36415 | Collection of venous blood by venipuncture | <1% | 533 | $636.40 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $509.00 |
| 82962 | <1% | 263 | $481.64 | |
| 81002 | <1% | 214 | $437.35 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 30 | $257.65 |
| 81000 | <1% | 18 | $59.23 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 80 | $0.00 |
| 3079F | 0% | 1,600 | $0.00 | |
| 3074F | 0% | 4,913 | $0.00 | |
| 3075F | 0% | 30 | $0.00 | |
| 3078F | 0% | 3,254 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 171 | $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 officialMISHRA, PRANAV (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Doctors Med Care of Gadsden, P.C. | Gadsden, AL | $1.46M |
| Doctors Med Care PC | Albertville, AL | $635K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.