Pickens County Health Care Authority

Pickens County Health Care Authority was paid $281K by Medicaid between Jan 2018 and Feb 2020, across 31 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 29% of everything it billed.

33Billing provider infoPICKENS COUNTY HEALTH CARE AUTHORITY
CARROLLTON, AL 35447

33aNPI1720331481assigned 10/18/2012

33bProvider typeGeneral Acute Care Hospital

28Total paid$281K

24GClaims18,816

24DCodes billed31

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Acute Care Hospital providers in Alabama

Rank by total paid#62 of 77

Median peer was paid$1.13M

This provider vs. median0.2×

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	8,698	$132K
2019	8,593	$125K
2020	1,525	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99282	Emergency department visit for the evaluation and management, low to moderate severity	29%	5,037	3,331	$82K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	24%	3,222	2,512	$67K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	1,857	1,410	$59K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	6.0%	1,282	915	$17K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.2%	141	104	$15K
80053	Comprehensive metabolic panel	4.5%	1,629	1,321	$13K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.5%	1,182	958	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.4%	535	474	$7K
80061	Lipid panel	1.6%	293	287	$4K
81001		<1%	913	726	$2K
80050	General health panel	<1%	28	27	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	93	58	$1K

19 more codes

87070		<1%	79	$747.88
71046	Radiologic examination, chest; 2 views	<1%	110	$721.57
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	79	$512.24
84439		<1%	58	$504.50
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	111	$496.40
84443	Thyroid stimulating hormone (TSH)	<1%	28	$483.34
85027		<1%	159	$434.97
81025		<1%	104	$254.61
82553		<1%	47	$238.14
84466		<1%	17	$188.20
84484		<1%	49	$157.22
82550		<1%	47	$134.40
82728		<1%	17	$112.10
83540		<1%	17	$77.30
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,473	$73.41
83735		<1%	33	$69.92
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	35	$14.50
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	0%	56	$0.00
36415	Collection of venous blood by venipuncture	0%	85	$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 officialMCBRYDE, RICHARD (DIRECTOR OF FINANCE)