Prime Healthcare Services-Gadsden Physician Management LLC
Prime Healthcare Services-Gadsden Physician Management LLC was paid $85K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 60% of everything it billed.
GADSDEN, AL 35901
Next to other Internal Medicine Physician providers in Alabama
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,420 | $11K | |
| 2019 | 2,813 | $10K | |
| 2020 | 2,223 | $10K | |
| 2021 | 1,783 | $8K | |
| 2022 | 1,372 | $9K | |
| 2023 | 4,198 | $23K | |
| 2024incomplete | 2,784 | $14K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 60% | 12,226 | 9,762 | $51K |
| 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 | 29% | 1,709 | 1,412 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.2% | 213 | 54 | $4K |
| 71045 | Radiologic examination, chest; single view | 1.8% | 545 | 429 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 43 | 35 | $673.54 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | 17 | $610.64 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 44 | 40 | $602.32 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | 12 | $537.03 |
| 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% | 58 | 25 | $479.56 |
| 99221 | <1% | 13 | 12 | $343.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | 17 | $231.20 |
| 99307 | <1% | 300 | 112 | $59.11 |
18 more codes
| 99490 | Ccm add 20min | <1% | 14 | $52.06 |
| 36415 | Collection of venous blood by venipuncture | <1% | 791 | $39.20 |
| 81003 | <1% | 888 | $13.14 | |
| 3078F | 0% | 154 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 360 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 60 | $0.00 |
| 1160F | 0% | 348 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 60 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 13 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 13 | $0.00 |
| 82947 | 0% | 13 | $0.00 | |
| 3008F | 0% | 337 | $0.00 | |
| 3074F | 0% | 160 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 33 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 33 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 87 | $0.00 |
| 1036F | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.