Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PICKENS COUNTY PRIMARY CARE PC

NPI: 1629491451 · REFORM, AL 35481 · Family Medicine Physician · NPI assigned 01/30/2014

$1.54M
Total Medicaid Paid
72,393
Total Claims
62,665
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOOTHE, JULIA (OWNER)
NPI Enumeration Date01/30/2014

Related Entities

Other providers sharing the same authorized official: BOOTHE, JULIA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,294 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,888 18,059 $1.08M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,893 3,992 $176K
99490 Ccm add 20min 15,458 15,119 $116K
99308 Subsequent nursing facility care, per day, straightforward 3,137 2,159 $38K
99215 Prolong outpt/office vis 529 427 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,469 2,643 $14K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,214 759 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 272 257 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 510 458 $7K
90686 536 513 $7K
90688 612 598 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 619 587 $7K
80305 1,191 1,070 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 249 241 $5K
99439 545 508 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 490 420 $3K
80061 Lipid panel 566 559 $3K
99497 232 198 $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 208 186 $2K
99305 54 41 $2K
93000 333 251 $1K
0001A 42 39 $1K
36415 Collection of venous blood by venipuncture 1,440 1,359 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 14 $911.72
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 79 56 $700.00
83036 Hemoglobin; glycosylated (A1C) 164 161 $641.00
0002A 14 14 $520.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 31 13 $486.36
0071A 12 12 $480.00
99383 17 12 $392.00
99310 Prolong nursin fac eval 15m 15 12 $377.31
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 205 163 $375.75
92250 13 13 $317.05
90670 28 24 $293.90
71046 Radiologic examination, chest; 2 views 32 24 $273.98
90715 19 14 $237.48
92551 114 83 $200.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 160 135 $171.72
99173 125 93 $143.00
J0696 Injection, ceftriaxone sodium, per 250 mg 87 79 $90.65
J1885 Injection, ketorolac tromethamine, per 15 mg 107 87 $63.15
J2360 Injection, orphenadrine citrate, up to 60 mg 33 24 $61.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg 130 113 $57.87
99487 Ccm add 20min 814 778 $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) 275 258 $0.00
3078F 3,094 2,685 $0.00
G0444 Annual depression screening, 5 to 15 minutes 223 221 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,312 1,177 $0.00
99072 487 459 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 93 90 $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 12 12 $0.00
3288F 86 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) 38 35 $0.00
3077F 62 55 $0.00
90461 12 12 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 14 14 $0.00
2026F 13 13 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 196 194 $0.00
G0008 Administration of influenza virus vaccine 333 329 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 248 225 $0.00
3008F 692 457 $0.00
3079F 533 481 $0.00
3074F 3,404 2,949 $0.00
1101F 144 144 $0.00
99406 173 158 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 120 119 $0.00
3080F 13 12 $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)). 55 55 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 28 28 $0.00
3075F 32 30 $0.00