PICKENS COUNTY PRIMARY CARE, PC

NPI: 1295421667 · GORDO, AL 35466 · Family Medicine Physician · NPI assigned 04/17/2023

$138K

Total Medicaid Paid

1,322

Total Claims

1,115

Beneficiaries

Codes Billed

2023-11

First Month

2024-12

Last Month

Provider Details

Authorized Official	BOOTHE, JULIA (OWNER)
Parent Organization	PICKENS COUNTY PRIMARY CARE, PC
NPI Enumeration Date	04/17/2023

Other providers sharing the same authorized official: BOOTHE, JULIA

Provider	City	State	Total Paid
PICKENS COUNTY PRIMARY CARE PC	REFORM	AL	$1.54M
PICKENS COUNTY PRIMARY CARE, PC	REFORM	AL	$882K
PICKENS COUNTY PRIMARY CARE, P.C	GORDO	AL	$634K
PICKENS COUNTY PRIMARY CARE, P.C	REFORM	AL	$410K
JLBMD CONSULTING, PC	REFORM	AL	$11K

Year	Claims	Total Paid
2023	217	$3K
2024	1,105	$134K

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	634	514	$132K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	468	426	$4K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	93	88	$648.17
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	52	25	$484.00
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	18	18	$474.66
90832	Psychotherapy, 30 minutes with patient	57	44	$0.00