Physician
Doctors Med Care of Gadsden, P.C.
Doctors Med Care of Gadsden, P.C. was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoDOCTORS MED CARE OF GADSDEN, P.C.
GADSDEN, AL 35904
GADSDEN, AL 35904
33aNPI1679504260assigned 07/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.46M
24GClaims65,862
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#32 of 455
Median peer was paid$57K
This provider vs. median26×
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 | 2,702 | $48K | |
| 2019 | 3,323 | $70K | |
| 2020 | 7,328 | $152K | |
| 2021 | 14,517 | $359K | |
| 2022 | 13,491 | $279K | |
| 2023 | 14,936 | $331K | |
| 2024incomplete | 9,565 | $226K |
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 | 52% | 13,125 | 11,791 | $761K |
| 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 | 8.8% | 1,493 | 1,323 | $130K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.9% | 3,712 | 3,579 | $87K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.7% | 2,124 | 2,055 | $83K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.7% | 8,750 | 8,129 | $68K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.5% | 6,902 | 3,311 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 1,488 | 1,361 | $56K |
| 87430 | 3.2% | 3,889 | 3,697 | $47K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.5% | 800 | 740 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 523 | 442 | $34K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 2,909 | 2,632 | $24K |
| 71046 | Radiologic examination, chest; 2 views | 1.4% | 1,289 | 1,208 | $20K |
18 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 237 | $14K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 491 | $11K |
| 70210 | <1% | 702 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 209 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 30 | $3K |
| 81002 | <1% | 1,104 | $3K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,355 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,163 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 681 | $1K |
| 71045 | Radiologic examination, chest; single view | <1% | 40 | $433.84 |
| 92567 | <1% | 30 | $297.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 27 | $228.00 |
| 86308 | <1% | 30 | $136.56 | |
| 82962 | <1% | 56 | $129.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,297 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 523 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 121 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 7,762 | $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 officialMISHRA, PRANAV (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Doctors Med Care PC | Albertville, AL | $635K |
| Doctors Med Care of Fort Payne, P.C. | Fort Payne, AL | $493K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.