Premier Health Management, INC.
Premier Health Management, INC. was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoPREMIER HEALTH MANAGEMENT, INC.
MOBILE, AL 36606
MOBILE, AL 36606
33aNPI1538154760assigned 09/14/2005
33bProvider typeAudiologist
28Total paid$2.96M
24GClaims64,234
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Audiologist providers in Alabama
Rank by total paid#1 of 8
Median peer was paid$39K
This provider vs. median75×
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 | 8,701 | $389K | |
| 2019 | 9,553 | $420K | |
| 2020 | 6,246 | $249K | |
| 2021 | 8,556 | $365K | |
| 2022 | 9,753 | $418K | |
| 2023 | 11,542 | $574K | |
| 2024incomplete | 9,883 | $550K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 16,341 | 14,046 | $672K |
| 99243 | 13% | 4,825 | 4,487 | $377K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 12% | 1,923 | 1,160 | $353K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.4% | 4,390 | 4,134 | $279K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.4% | 2,750 | 2,630 | $218K |
| V2020 | Frames, purchases | 3.9% | 1,228 | 1,216 | $116K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.9% | 2,125 | 1,955 | $115K |
| 92567 | 3.5% | 6,243 | 5,911 | $104K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.9% | 2,210 | 1,388 | $85K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.4% | 167 | 164 | $71K |
| 92557 | 2.0% | 1,322 | 1,267 | $58K | |
| 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 | 2.0% | 1,138 | 960 | $58K |
22 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.8% | 1,561 | $53K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.6% | 1,366 | $48K |
| 92134 | 1.6% | 5,984 | $47K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.6% | 426 | $46K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.5% | 313 | $45K |
| 92015 | Determination of refractive state | 1.4% | 5,689 | $41K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.2% | 986 | $35K |
| 86003 | 1.1% | 248 | $33K | |
| J0178 | Injection, aflibercept, 1 mg | 1.1% | 51 | $32K |
| 92587 | <1% | 674 | $22K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 835 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 798 | $12K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 312 | $8K |
| 92588 | <1% | 115 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 28 | $3K |
| 70220 | <1% | 29 | $2K | |
| 92285 | <1% | 34 | $521.12 | |
| 92083 | <1% | 30 | $434.33 | |
| 92555 | <1% | 31 | $341.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $270.00 |
| 92133 | <1% | 37 | $249.56 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $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 officialHARTMAN, JAMES (CEO)