Pricare, PA

Pricare, PA was paid $3K by Medicaid between Jan 2018 and Nov 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoPRICARE, PA
ALEXANDER CITY, AL 35010

33aNPI1427154723assigned 09/15/2006

33bProvider typeFamily Medicine Physician

28Total paid$3K

24GClaims551

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Family Medicine Physician providers in Alabama

Rank by total paid#357 of 455

Median peer was paid$57K

This provider vs. median0.0×

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	366	$1K
2023	185	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	44%	46	39	$1K
99490	Ccm add 20min	31%	292	178	$825.73
99308	Subsequent nursing facility care, per day, straightforward	23%	74	52	$607.80
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.8%	15	14	$47.94
3008F		0%	124	91	$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 officialJAMES, DIANE (OFFICE MANAGER)