Clinic
Chatom Primary Care PC
Chatom Primary Care PC was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoCHATOM PRIMARY CARE PC
CHATOM, AL 36518
CHATOM, AL 36518
33aNPI1730158544assigned 03/15/2006
33bProvider typeClinic/Center
28Total paid$2.28M
24GClaims78,978
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Alabama
Rank by total paid#9 of 57
Median peer was paid$94K
This provider vs. median24×
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 | 9,542 | $245K | |
| 2019 | 11,810 | $268K | |
| 2020 | 9,427 | $257K | |
| 2021 | 12,947 | $390K | |
| 2022 | 14,066 | $427K | |
| 2023 | 13,233 | $408K | |
| 2024incomplete | 7,953 | $283K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 91% | 31,547 | 24,076 | $2.07M |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 5,481 | 4,862 | $64K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.6% | 961 | 749 | $58K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,333 | 1,182 | $24K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 650 | 555 | $15K |
| 90670 | <1% | 480 | 445 | $14K | |
| 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 | <1% | 15,586 | 12,087 | $11K |
| 90698 | <1% | 216 | 190 | $3K | |
| 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% | 8,563 | 6,785 | $3K |
| 87428 | <1% | 39 | 33 | $2K | |
| 90651 | <1% | 35 | 29 | $2K | |
| 90680 | <1% | 90 | 84 | $1K |
28 more codes
| 90677 | <1% | 69 | $1K | |
| 87807 | <1% | 76 | $804.26 | |
| 90707 | <1% | 29 | $530.36 | |
| 90688 | <1% | 61 | $458.53 | |
| 90716 | <1% | 17 | $415.98 | |
| 90744 | <1% | 39 | $378.40 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 40 | $354.70 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,188 | $221.76 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 134 | $192.93 |
| 90633 | <1% | 12 | $176.55 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 638 | $131.09 |
| 85018 | <1% | 63 | $129.00 | |
| 81003 | <1% | 28 | $80.30 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 351 | $64.52 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 5,093 | $57.16 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,641 | $56.01 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 668 | $13.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 122 | $3.09 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 733 | $0.33 |
| 99490 | Ccm add 20min | 0% | 296 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 69 | $0.00 |
| 3078F | 0% | 650 | $0.00 | |
| 99348 | 0% | 79 | $0.00 | |
| 3074F | 0% | 689 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 104 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 64 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 20 | $0.00 |
| 99349 | 0% | 24 | $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 officialDONALD, JAMES (OWNER PRESIDENT)