Physician
Clinical Urology Associates, P.C.
Clinical Urology Associates, P.C. was paid $76K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoCLINICAL UROLOGY ASSOCIATES, P.C.
GADSDEN, AL 35903
GADSDEN, AL 35903
33aNPI1952369860assigned 05/02/2006
33bProvider typeUrology Physician
28Total paid$76K
24GClaims9,485
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urology Physician providers in Alabama
Rank by total paid#2 of 21
Median peer was paid$5K
This provider vs. median14×
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 | 2,624 | $17K | |
| 2019 | 1,279 | $6K | |
| 2020 | 1,205 | $7K | |
| 2021 | 1,383 | $11K | |
| 2022 | 782 | $5K | |
| 2023 | 1,367 | $15K | |
| 2024incomplete | 845 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 80% | 3,395 | 2,931 | $61K |
| 51798 | 6.9% | 1,443 | 1,272 | $5K | |
| 81003 | 4.4% | 4,314 | 3,750 | $3K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 3.4% | 13 | 13 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 26 | 24 | $1K |
| 87481 | 1.0% | 12 | 12 | $784.00 | |
| 87900 | 1.0% | 13 | 13 | $756.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 12 | $470.50 |
| 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% | 24 | 16 | $231.26 |
| 87653 | <1% | 12 | 12 | $154.00 | |
| 87640 | <1% | 13 | 13 | $154.00 | |
| 84311 | <1% | 20 | 14 | $68.00 |
9 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 officialPIRANI, JOHN (PARTNER)