Physician
Pickens County Primary Care, P.C
Pickens County Primary Care, P.C was paid $410K by Medicaid between Dec 2019 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoPICKENS COUNTY PRIMARY CARE, P.C
REFORM, AL 35481
REFORM, AL 35481
33aNPI1508332446assigned 10/18/2018
33bProvider typeFamily Medicine Physician
28Total paid$410K
24GClaims4,733
24DCodes billed14
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#92 of 455
Median peer was paid$57K
This provider vs. median7.2×
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 | |
|---|---|---|---|
| 2019 | 61 | $3K | |
| 2020 | 1,224 | $52K | |
| 2021 | 325 | $29K | |
| 2022 | 798 | $77K | |
| 2023 | 1,318 | $130K | |
| 2024incomplete | 1,007 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 2,436 | 1,689 | $401K |
| 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% | 960 | 825 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 64 | 60 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 170 | 79 | $1K |
| 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 | <1% | 318 | 264 | $932.25 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 38 | 34 | $591.12 |
| 92551 | <1% | 90 | 84 | $360.75 | |
| 99173 | <1% | 134 | 116 | $350.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 319 | 117 | $347.27 |
| 90686 | <1% | 19 | 19 | $342.54 | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 16 | 16 | $84.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | 38 | $80.45 |
2 more codes
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 officialBOOTHE, JULIA (OWNER)
Parent organizationPICKENS COUNTY PRIMARY CARE, P.C
| Provider | Location | Paid |
|---|---|---|
| Pickens County Primary Care PC | Reform, AL | $1.54M |
| Pickens County Primary Care, PC | Reform, AL | $882K |
| Pickens County Primary Care, P.C | Gordo, AL | $634K |
| Pickens County Primary Care, PC | Gordo, AL | $138K |
| JLBMD Consulting, PC | Reform, AL | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.