Physician
Highlands Surgical Services LLC
Highlands Surgical Services LLC was paid $5K by Medicaid between Jan 2018 and Apr 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoHIGHLANDS SURGICAL SERVICES LLC
SCOTTSBORO, AL 35768
SCOTTSBORO, AL 35768
33aNPI1639514250assigned 05/09/2013
33bProvider typeSurgery Physician
28Total paid$5K
24GClaims1,539
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Surgery Physician providers in Alabama
Rank by total paid#23 of 51
Median peer was paid$4K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2018 | 267 | $388.50 | |
| 2019 | 466 | $2K | |
| 2020 | 340 | $2K | |
| 2021 | 351 | $1K | |
| 2022 | 100 | $0.00 | |
| 2023 | 15 | $0.00 |
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 | 94% | 171 | 141 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 15 | 13 | $288.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,299 | 1,109 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 27 | 25 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 27 | 25 | $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 officialGRIDER, KAREN (PHYSICIAN SERVICES DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Highlands Family Medicine, LLC | Scottsboro, AL | $245K |
| Scottsboro Urgent Care | Scottsboro, AL | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.