Lab
Cullman Primary Care, PC
Cullman Primary Care, PC was paid $1.13M by Medicaid between Jan 2018 and Dec 2023, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoCULLMAN PRIMARY CARE, PC
CULLMAN, AL 35058
CULLMAN, AL 35058
33aNPI1598717381assigned 05/17/2006
33bProvider typeClinical Medical Laboratory
28Total paid$1.13M
24GClaims65,194
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Clinical Medical Laboratory providers in Alabama
Rank by total paid#20 of 61
Median peer was paid$46K
This provider vs. median25×
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 | 11,378 | $133K | |
| 2019 | 11,966 | $188K | |
| 2020 | 11,446 | $225K | |
| 2021 | 12,458 | $209K | |
| 2022 | 11,390 | $209K | |
| 2023 | 6,556 | $169K |
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 | 36% | 9,530 | 7,802 | $406K |
| 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 | 20% | 5,050 | 4,200 | $230K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 17% | 1,001 | 629 | $194K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.3% | 1,488 | 1,252 | $37K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 1,496 | 847 | $37K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 2,324 | 2,134 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 1,186 | 1,005 | $22K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.7% | 861 | 789 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 590 | 575 | $17K |
| 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 | 1.2% | 127 | 97 | $13K |
| 90461 | 1.0% | 304 | 260 | $12K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.0% | 764 | 552 | $11K |
80 more codes
| G9357 | Post-partum screenings, evaluations and education performed | <1% | 101 | $9K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 728 | $9K |
| 59510 | <1% | 35 | $9K | |
| 90837 | Psychotherapy session, about an hour | <1% | 248 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 505 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 131 | $8K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 29 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 30 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 71 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 94 | $5K |
| 90715 | <1% | 180 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 53 | $4K |
| 90674 | <1% | 125 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 135 | $2K |
| 90686 | <1% | 105 | $2K | |
| 81025 | <1% | 896 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 502 | $2K |
| 87631 | <1% | 34 | $2K | |
| 76801 | <1% | 373 | $1K | |
| 90734 | <1% | 13 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 32 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $1K |
| 92551 | <1% | 59 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 39 | $1K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 42 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $907.78 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 143 | $864.29 |
| 81002 | <1% | 307 | $618.14 | |
| 87486 | <1% | 34 | $571.98 | |
| 87581 | <1% | 34 | $571.98 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 18 | $442.68 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $428.12 |
| 99173 | <1% | 78 | $425.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 419 | $317.10 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 296 | $268.00 |
| 92015 | Determination of refractive state | <1% | 48 | $234.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 23 | $216.00 |
| 90688 | <1% | 12 | $196.24 | |
| 87807 | <1% | 13 | $129.82 | |
| 99490 | Ccm add 20min | <1% | 26 | $112.04 |
| 92370 | <1% | 23 | $63.12 | |
| 81003 | <1% | 31 | $57.60 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 31 | $41.08 |
| 94750 | <1% | 12 | $40.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $5.04 |
| 94760 | <1% | 773 | $2.83 | |
| 2010F | 0% | 1,427 | $0.00 | |
| 3074F | 0% | 7,030 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,678 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 643 | $0.00 |
| 3008F | 0% | 6,014 | $0.00 | |
| 3079F | 0% | 171 | $0.00 | |
| 2000F | 0% | 1,346 | $0.00 | |
| 3037F | 0% | 96 | $0.00 | |
| 1125F | 0% | 83 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 1126F | 0% | 160 | $0.00 | |
| 2001F | 0% | 527 | $0.00 | |
| 1000F | 0% | 202 | $0.00 | |
| 1036F | 0% | 95 | $0.00 | |
| 1111F | 0% | 116 | $0.00 | |
| 3080F | 0% | 20 | $0.00 | |
| 3075F | 0% | 14 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 22 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 7025F | 0% | 12 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,481 | $0.00 |
| 1159F | 0% | 1,936 | $0.00 | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 423 | $0.00 |
| 59426 | 0% | 551 | $0.00 | |
| 3078F | 0% | 6,001 | $0.00 | |
| 1160F | 0% | 1,862 | $0.00 | |
| 3028F | 0% | 271 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 56 | $0.00 |
| 4274F | 0% | 105 | $0.00 | |
| 0521F | 0% | 105 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 22 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | $0.00 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 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 officialBLANKENSHIP, CONNIE (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Cullman Primary Care, PC | Cullman, AL | $1.67M |
| Cullman Primary Care, PC | Cullman, AL | $797K |
| Cullman Primary Care, PC | Cullman, AL | $280K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.