Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Cullman › NPI 1326130550

Internal Medicine and Pediatrics of Cullman

Internal Medicine and Pediatrics of Cullman was paid $7.02M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoINTERNAL MEDICINE AND PEDIATRICS OF CULLMAN
CULLMAN, AL 35058
33aNPI1326130550assigned 09/28/2006
33bProvider typeSpecialist
28Total paid$7.02M
24GClaims237,918
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Alabama

Rank by total paid#2 of 162
Median peer was paid$49K
This provider vs. median142×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201823,816$634K
201927,901$794K
202023,400$628K
202133,490$933K
202240,066$1.14M
202347,446$1.34M
2024incomplete41,799$1.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 28% 21,518 20,193 $1.93M
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% 27,817 25,986 $1.68M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.5% 8,715 8,519 $600K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.9% 7,959 7,819 $553K
90460 Immunization administration through 18 years of age via any route, first or only component 4.3% 7,379 7,244 $301K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.1% 4,605 4,519 $290K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3.6% 1,247 1,190 $254K
90461 3.2% 4,806 4,724 $225K
90670 2.7% 4,616 4,556 $193K
87428 1.8% 2,857 2,776 $128K
90723 1.5% 4,282 4,242 $108K
90680 1.4% 3,897 3,863 $98K
48 more codes
90647 1.2% 4,177 $84K
90677 <1% 1,116 $68K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,462 $55K
92551 <1% 9,375 $54K
90633 <1% 2,577 $53K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,512 $50K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 777 $46K
90686 <1% 2,182 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 828 $22K
90710 <1% 279 $20K
99174 <1% 6,811 $16K
90685 <1% 724 $14K
90671 <1% 430 $12K
99177 <1% 4,357 $11K
36416 <1% 5,736 $11K
90651 <1% 202 $11K
90472 Immunization administration, each additional vaccine (list separately) <1% 283 $7K
90381 <1% 66 $7K
90696 <1% 254 $7K
87807 <1% 639 $7K
90707 <1% 297 $6K
99238 Hospital discharge day management, 30 minutes or less <1% 95 $6K
90656 <1% 333 $6K
90734 <1% 102 $6K
90700 <1% 282 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 190 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 478 $4K
90716 <1% 223 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 89 $3K
99460 <1% 30 $3K
99204 Doctor's office visit, new patient (more involved) <1% 15 $2K
90715 <1% 64 $2K
99203 Doctor's office visit, new patient (routine) <1% 17 $2K
71046 Radiologic examination, chest; 2 views <1% 72 $1K
99462 <1% 31 $1K
90672 <1% 47 $930.13
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 149 $672.50
90380 <1% 27 $514.54
85018 <1% 1,613 $470.87
96380 <1% 17 $365.93
81002 <1% 93 $259.60
74018 <1% 14 $244.58
G0444 Annual depression screening, 5 to 15 minutes <1% 135 $114.39
3078F 0% 36,030 $0.00
3074F 0% 38,206 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 10,936 $0.00
3079F 0% 835 $0.00
3075F 0% 13 $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 officialLUNSFORD, MICHAEL (PRESIDENT)