PELL CITY INTERNAL MEDICINE LLC
NPI: 1649539610
· PELL CITY, AL 35128
· 207R00000X
$628K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,381 |
$50K |
| 2019 |
3,578 |
$63K |
| 2020 |
2,750 |
$75K |
| 2021 |
6,881 |
$143K |
| 2022 |
5,131 |
$119K |
| 2023 |
5,148 |
$117K |
| 2024 |
3,140 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
6,304 |
5,424 |
$294K |
| 99214 |
|
3,914 |
3,286 |
$236K |
| 87636 |
|
380 |
344 |
$32K |
| 85025 |
|
1,598 |
1,423 |
$11K |
| 99215 |
Prolong outpt/office vis |
119 |
100 |
$8K |
| 80053 |
|
868 |
798 |
$7K |
| 87804 |
|
586 |
322 |
$6K |
| 84443 |
|
220 |
209 |
$4K |
| 96372 |
|
509 |
402 |
$4K |
| 99309 |
|
603 |
433 |
$3K |
| 80061 |
|
318 |
297 |
$3K |
| 87880 |
|
260 |
230 |
$3K |
| 99203 |
|
51 |
42 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
249 |
160 |
$3K |
| 87635 |
|
65 |
63 |
$3K |
| 84439 |
|
296 |
275 |
$2K |
| 87428 |
|
76 |
54 |
$2K |
| 87637 |
|
13 |
13 |
$1K |
| 83036 |
|
109 |
107 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$755.48 |
| 81003 |
|
287 |
259 |
$624.11 |
| 71046 |
|
42 |
39 |
$624.10 |
| J0702 |
Betamethasone acet&sod phosp |
70 |
45 |
$522.00 |
| 99211 |
|
32 |
30 |
$521.25 |
| 99308 |
|
17 |
13 |
$178.65 |
| J0696 |
Ceftriaxone sodium injection |
62 |
51 |
$98.21 |
| J1100 |
Dexamethasone sodium phos |
17 |
12 |
$4.72 |
| 3074F |
|
5,771 |
4,895 |
$0.00 |
| 3079F |
|
1,224 |
1,079 |
$0.00 |
| 3075F |
|
159 |
153 |
$0.00 |
| 1111F |
|
33 |
29 |
$0.00 |
| 3044F |
|
50 |
50 |
$0.00 |
| 3078F |
|
4,260 |
3,618 |
$0.00 |
| 1159F |
|
205 |
192 |
$0.00 |
| 1160F |
|
203 |
190 |
$0.00 |
| 3077F |
|
27 |
13 |
$0.00 |