Physician
Utmost Health Care Center, LLC
Utmost Health Care Center, LLC was paid $655K by Medicaid between Jan 2018 and Aug 2024, across 27 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 79% of everything it billed.
33Billing provider infoUTMOST HEALTH CARE CENTER, LLC
BESSEMER, AL 35020
BESSEMER, AL 35020
33aNPI1679808299assigned 10/15/2009
33bProvider typeFamily Medicine Physician
28Total paid$655K
24GClaims14,676
24DCodes billed27
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#69 of 455
Median peer was paid$57K
This provider vs. median12×
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 | 3,734 | $146K | |
| 2019 | 3,499 | $128K | |
| 2020 | 1,958 | $93K | |
| 2021 | 1,850 | $94K | |
| 2022 | 1,707 | $86K | |
| 2023 | 1,196 | $70K | |
| 2024incomplete | 732 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 79% | 4,805 | 4,119 | $519K |
| 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 | 12% | 1,076 | 882 | $78K |
| 36410 | 2.9% | 1,828 | 1,613 | $19K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 1,241 | 978 | $9K |
| 81000 | 1.3% | 2,907 | 2,471 | $8K | |
| 99205 | Prolong outpt/office vis | 1.1% | 76 | 58 | $7K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 427 | 332 | $6K |
| 81001 | <1% | 534 | 486 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 163 | 62 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 73 | 50 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 23 | 17 | $893.68 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 24 | 17 | $828.59 |
15 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 105 | $784.00 |
| 82043 | <1% | 79 | $372.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 217 | $332.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 20 | $246.30 |
| 82950 | <1% | 52 | $234.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 185 | $122.53 |
| 90688 | <1% | 15 | $102.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 92 | $52.71 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $40.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 230 | $39.29 |
| 3078F | 0% | 228 | $0.00 | |
| 3077F | 0% | 22 | $0.00 | |
| 3080F | 0% | 40 | $0.00 | |
| 3075F | 0% | 173 | $0.00 | |
| 3074F | 0% | 28 | $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 officialBADEWA, ABIODUN (OWNER)