Physician
Northwest Alabama Cancer Center PC
Northwest Alabama Cancer Center PC was paid $147K by Medicaid between Jan 2018 and Dec 2021, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoNORTHWEST ALABAMA CANCER CENTER PC
MUSCLE SHOALS, AL 35661
MUSCLE SHOALS, AL 35661
33aNPI1760403703assigned 07/23/2006
33bProvider typeMedical Oncology Physician
28Total paid$147K
24GClaims18,749
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Medical Oncology Physician providers in Alabama
Rank by total paid#3 of 6
Median peer was paid$92K
This provider vs. median1.6×
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 | 5,917 | $43K | |
| 2019 | 4,439 | $32K | |
| 2020 | 4,498 | $35K | |
| 2021 | 3,895 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,815 | 3,314 | $45K |
| 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 | 22% | 1,778 | 1,453 | $32K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 19% | 6,167 | 4,810 | $28K |
| 80053 | Comprehensive metabolic panel | 14% | 3,755 | 3,186 | $20K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 6.8% | 212 | 126 | $10K |
| 96367 | 4.7% | 462 | 289 | $7K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.3% | 100 | 66 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 497 | 344 | $2K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 66 | 36 | $524.60 |
| 82728 | <1% | 41 | 41 | $221.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 15 | 13 | $192.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 13 | $188.20 |
3 more codes
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 officialDAUGHERTY, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Fishers Eye Care, LLC | Fishers, IN | $62K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.