Physician
Valley Area Primary Care, LLC
Valley Area Primary Care, LLC was paid $502K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoVALLEY AREA PRIMARY CARE, LLC
VALLEY, AL 36854
VALLEY, AL 36854
33aNPI1508252685assigned 04/15/2015
33bProvider typeFamily Medicine Physician
28Total paid$502K
24GClaims15,001
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#78 of 455
Median peer was paid$57K
This provider vs. median8.8×
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.
Entity ProliferationAuthorized official PRICE, SAMUEL controls 20+ related entities in our dataset. Read more
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 | 2,412 | $80K | |
| 2019 | 1,602 | $53K | |
| 2020 | 1,085 | $52K | |
| 2021 | 1,795 | $73K | |
| 2022 | 2,885 | $93K | |
| 2023 | 2,991 | $94K | |
| 2024incomplete | 2,231 | $58K |
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 | 85% | 9,209 | 7,914 | $428K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 1,443 | 1,184 | $43K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 414 | 332 | $16K |
| 99307 | <1% | 618 | 588 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 30 | 26 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 403 | 359 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 51 | 42 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 63 | 59 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 22 | 21 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 201 | 167 | $1K |
| 90686 | <1% | 56 | 47 | $599.28 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 169 | 152 | $464.49 |
18 more codes
| 82962 | <1% | 430 | $458.15 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 43 | $332.11 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $316.44 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $313.03 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $280.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 122 | $104.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $45.00 |
| 3079F | 0% | 97 | $0.00 | |
| 3008F | 0% | 916 | $0.00 | |
| 3074F | 0% | 299 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 63 | $0.00 |
| 3075F | 0% | 12 | $0.00 | |
| 99304 | 0% | 13 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| 3080F | 0% | 26 | $0.00 | |
| 3078F | 0% | 151 | $0.00 | |
| 3077F | 0% | 38 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 16 | $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 officialPRICE, SAMUEL (CFO)
Parent organizationTHE EAST ALABAMA HEALTH CARE AUTHORITY
| Provider | Location | Paid |
|---|---|---|
| B. J. Price, INC | Doniphan, MO | $12.49M |
| The East Alabama Health Care Authority | Opelika, AL | $6.19M |
| East Alabama EMS, LLC | Opelika, AL | $2.58M |
| Eamc Er Physicians | Opelika, AL | $2.55M |
| Eamc Physicians Group | Opelika, AL | $1.07M |
| East Alabama Physicians, LLC | Opelika, AL | $771K |
| Primary Medicine Associates, LLC | Auburn, AL | $650K |
| The East Alabama Health Care Authority | Valley, AL | $582K |
| East Alabama Maternal Fetal Medicine | Auburn, AL | $341K |
| East Alabama Heart and Vascular, LLC | Opelika, AL | $297K |
| Rehabworks LLC | Opelika, AL | $199K |
| East Alabama Orthopaedics and Sports Medicine, LLC | Opelika, AL | $158K |
| Neurology Center of East Alabama, LLC | Opelika, AL | $94K |
| East Alabama Health Services LLC | Opelika, AL | $54K |
| Urology Associates of East Alabama LLC | Opelika, AL | $31K |
| Valley Internal Medical Associates LLC | Valley, AL | $15K |
| Endocrinology and Metabolism of East Alabama LLC | Opelika, AL | $2K |
| Eamc-Lanier Ambulatory Surgery Center, LLC | Valley, AL | $2K |
| Eamc Eye Clinic, LLC | Opelika, AL | $0.00 |
| The East Alabama Health Care Authority | Opelika, AL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.