Clinic
Pickens County Health Care Authority
Pickens County Health Care Authority was paid $273K by Medicaid between Jan 2018 and Feb 2020, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoPICKENS COUNTY HEALTH CARE AUTHORITY
CARROLLTON, AL 35447
CARROLLTON, AL 35447
33aNPI1306190921assigned 11/05/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$273K
24GClaims5,945
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Primary Care Clinic/Center providers in Alabama
Rank by total paid#24 of 75
Median peer was paid$56K
This provider vs. median4.9×
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 | 3,510 | $155K | |
| 2019 | 2,174 | $104K | |
| 2020 | 261 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 2,876 | 2,305 | $272K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,580 | 1,196 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 340 | 315 | $163.20 |
| 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 | <1% | 731 | 532 | $97.01 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 268 | 249 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 56 | 42 | $0.00 |
| 90461 | 0% | 61 | 56 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 33 | 27 | $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 officialMCELROY, HENRY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Pickens County Health Care Authority | Carrollton, AL | $150K |
| Pickens County Health Care Authority | Carrollton, AL | $714.62 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.