Physician
Primary Care Clinic
Primary Care Clinic was paid $1.89M by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoPRIMARY CARE CLINIC
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
33aNPI1306967427assigned 04/03/2007
33bProvider typePediatrics Physician
28Total paid$1.89M
24GClaims43,108
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#72 of 199
Median peer was paid$702K
This provider vs. median2.7×
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 | 5,705 | $266K | |
| 2019 | 6,494 | $274K | |
| 2020 | 4,532 | $172K | |
| 2021 | 7,166 | $311K | |
| 2022 | 7,427 | $337K | |
| 2023 | 7,687 | $325K | |
| 2024incomplete | 4,097 | $201K |
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 | 61% | 12,097 | 11,254 | $1.15M |
| 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 | 17% | 2,431 | 2,276 | $321K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 1,448 | 1,320 | $88K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 1,428 | 1,298 | $83K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 1,119 | 1,057 | $71K |
| 90686 | 1.6% | 3,469 | 3,351 | $31K | |
| 99173 | 1.6% | 7,192 | 6,332 | $30K | |
| 92551 | 1.5% | 6,380 | 5,673 | $28K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 398 | 361 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 580 | 555 | $12K |
| 96127 | <1% | 1,787 | 1,679 | $7K | |
| 90756 | <1% | 983 | 859 | $6K |
25 more codes
| 90648 | <1% | 905 | $6K | |
| 90670 | <1% | 808 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 46 | $5K |
| 0071A | <1% | 75 | $3K | |
| 0001A | <1% | 175 | $3K | |
| 90723 | <1% | 350 | $2K | |
| 0002A | <1% | 101 | $2K | |
| 96161 | <1% | 284 | $2K | |
| 0072A | <1% | 34 | $1K | |
| 90680 | <1% | 186 | $1K | |
| 90633 | <1% | 147 | $1K | |
| 90649 | <1% | 152 | $944.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 49 | $926.59 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 25 | $687.03 |
| 90716 | <1% | 82 | $544.00 | |
| 90707 | <1% | 81 | $536.00 | |
| 90656 | <1% | 15 | $335.25 | |
| 94760 | <1% | 135 | $203.02 | |
| 90734 | <1% | 42 | $168.00 | |
| 90671 | <1% | 18 | $128.00 | |
| 90677 | <1% | 12 | $96.00 | |
| 90651 | <1% | 12 | $88.00 | |
| 88189 | 0% | 15 | $0.00 | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 0% | 32 | $0.00 |
| 17110 | 0% | 15 | $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 officialASHWORTH, CAROLYN (DIVISION DIRECTOR, GENERAL PEDIATRI)
| Provider | Location | Paid |
|---|---|---|
| Gaston County | Gastonia, NC | $5.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.