Physician
Pickens County Primary Care PC
Pickens County Primary Care PC was paid $1.54M by Medicaid between Jan 2018 and Nov 2024, across 70 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoPICKENS COUNTY PRIMARY CARE PC
REFORM, AL 35481
REFORM, AL 35481
33aNPI1629491451assigned 01/30/2014
33bProvider typeFamily Medicine Physician
28Total paid$1.54M
24GClaims72,393
24DCodes billed70
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#29 of 455
Median peer was paid$57K
This provider vs. median27×
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 | 11,703 | $222K | |
| 2019 | 15,166 | $305K | |
| 2020 | 9,163 | $243K | |
| 2021 | 11,907 | $286K | |
| 2022 | 10,668 | $219K | |
| 2023 | 8,492 | $175K | |
| 2024incomplete | 5,294 | $87K |
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 | 70% | 21,888 | 18,059 | $1.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,893 | 3,992 | $176K |
| 99490 | Ccm add 20min | 7.5% | 15,458 | 15,119 | $116K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.5% | 3,137 | 2,159 | $38K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 529 | 427 | $28K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,469 | 2,643 | $14K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,214 | 759 | $12K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 272 | 257 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 510 | 458 | $7K |
| 90686 | <1% | 536 | 513 | $7K | |
| 90688 | <1% | 612 | 598 | $7K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 619 | 587 | $7K |
58 more codes
| 80305 | <1% | 1,191 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 249 | $5K |
| 99439 | <1% | 545 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 490 | $3K |
| 80061 | Lipid panel | <1% | 566 | $3K |
| 99497 | <1% | 232 | $2K | |
| G0477 | Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service | <1% | 208 | $2K |
| 99305 | <1% | 54 | $2K | |
| 93000 | <1% | 333 | $1K | |
| 0001A | <1% | 42 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,440 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $911.72 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 79 | $700.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 164 | $641.00 |
| 0002A | <1% | 14 | $520.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $486.36 |
| 0071A | <1% | 12 | $480.00 | |
| 99383 | <1% | 17 | $392.00 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 15 | $377.31 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 205 | $375.75 |
| 92250 | <1% | 13 | $317.05 | |
| 90670 | <1% | 28 | $293.90 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 32 | $273.98 |
| 90715 | <1% | 19 | $237.48 | |
| 92551 | <1% | 114 | $200.60 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 160 | $171.72 |
| 99173 | <1% | 125 | $143.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 87 | $90.65 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 107 | $63.15 |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 33 | $61.53 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 130 | $57.87 |
| 99487 | Ccm add 20min | 0% | 814 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 275 | $0.00 |
| 3078F | 0% | 3,094 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 223 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,312 | $0.00 |
| 99072 | 0% | 487 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 93 | $0.00 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 0% | 12 | $0.00 |
| 3288F | 0% | 86 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 38 | $0.00 |
| 3077F | 0% | 62 | $0.00 | |
| 90461 | 0% | 12 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 14 | $0.00 |
| 2026F | 0% | 13 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 196 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 333 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 248 | $0.00 |
| 3008F | 0% | 692 | $0.00 | |
| 3079F | 0% | 533 | $0.00 | |
| 3074F | 0% | 3,404 | $0.00 | |
| 1101F | 0% | 144 | $0.00 | |
| 99406 | 0% | 173 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 120 | $0.00 |
| 3080F | 0% | 13 | $0.00 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 55 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 28 | $0.00 |
| 3075F | 0% | 32 | $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 officialBOOTHE, JULIA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pickens County Primary Care, PC | Reform, AL | $882K |
| Pickens County Primary Care, P.C | Gordo, AL | $634K |
| Pickens County Primary Care, P.C | Reform, AL | $410K |
| 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.