Jefferson County Commission
Jefferson County Commission was paid $221K by Medicaid between Jan 2018 and Mar 2020, across 13 billing codes. Its largest line is G0481, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed — 41% of everything it billed.
BIRMINGHAM, AL 35233
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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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,369 | $116K | |
| 2019 | 2,902 | $81K | |
| 2020 | 533 | $24K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 41% | 1,148 | 1,114 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,372 | 1,327 | $54K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 1,186 | 1,164 | $34K |
| 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 | 6.6% | 284 | 280 | $15K |
| 80053 | Comprehensive metabolic panel | 3.8% | 836 | 817 | $8K |
| 80305 | 3.2% | 677 | 665 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.1% | 413 | 406 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 320 | 313 | $3K |
| 80061 | Lipid panel | 1.2% | 262 | 257 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 98 | 96 | $2K |
| 82948 | <1% | 165 | 163 | $612.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 31 | 31 | $319.00 |
1 more codes
| 82274 | <1% | 12 | $204.00 |
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.