Physician
Doctors Med Care of E Gadsden, P.C.
Doctors Med Care of E Gadsden, P.C. was paid $20K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoDOCTORS MED CARE OF E GADSDEN, P.C.
GADSDEN, AL 35901
GADSDEN, AL 35901
33aNPI1992736581assigned 07/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$20K
24GClaims910
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#277 of 455
Median peer was paid$57K
This provider vs. median0.4×
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 | 48 | $533.76 | |
| 2019 | 16 | $127.04 | |
| 2020 | 223 | $4K | |
| 2021 | 222 | $7K | |
| 2022 | 218 | $5K | |
| 2023 | 125 | $2K | |
| 2024incomplete | 58 | $2K |
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 | 23% | 115 | 100 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 21% | 90 | 87 | $4K |
| 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 | 12% | 35 | 32 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 10% | 202 | 95 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 10% | 90 | 83 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 9.9% | 80 | 73 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 6.4% | 173 | 162 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.4% | 24 | 24 | $891.80 |
| 87430 | 3.4% | 65 | 63 | $689.44 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 36 | 34 | $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 officialDALE, TONYA (OFFICE MANAGER)