Alignmed Partners, PC

Alignmed Partners, PC was paid $16.64M by Medicaid between Feb 2018 and Dec 2024, across 18 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 77% of everything it billed.

33Billing provider infoALIGNMED PARTNERS, PC
GARDENDALE, AL 35071

33aNPI1881109452assigned 12/05/2017

33bProvider typeGastroenterology Physician

28Total paid$16.64M

24GClaims596,748

24DCodes billed18

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Gastroenterology Physician providers in Alabama

Rank by total paid#1 of 27

Median peer was paid$28K

This provider vs. median587×

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	51,864	$2.01M
2019	85,909	$2.44M
2020	80,444	$2.16M
2021	99,796	$2.66M
2022	110,594	$2.48M
2023	89,850	$2.51M
2024incomplete	78,291	$2.38M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	77%	446,149	215,392	$12.74M
99308	Subsequent nursing facility care, per day, straightforward	10.0%	81,334	46,345	$1.66M
99310	Prolong nursin fac eval 15m	6.3%	24,684	15,045	$1.05M
99306	Prolong nursin fac eval 15m	3.2%	12,154	10,279	$535K
99305		1.5%	9,199	7,832	$255K
99316		1.1%	6,229	5,615	$183K
99497		<1%	7,570	6,198	$118K
99356		<1%	2,677	1,907	$47K
99358	Prolong nursin fac eval 15m	<1%	2,314	1,808	$25K
99307		<1%	3,251	1,345	$21K
99315		<1%	114	105	$5K
99304		<1%	86	82	$3K

6 more codes

99318		<1%	128	$3K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	19	$505.76
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)	<1%	28	$83.02
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	0%	143	$0.00
99423		0%	89	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	580	$-1075.13

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 officialRESNIK, AARON (SENIOR DIRECTOR OF REVENUE MGMT.)