Physician
Montgomery Rheumatology Associates, P.A.
Montgomery Rheumatology Associates, P.A. was paid $108K by Medicaid between Jan 2018 and Feb 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoMONTGOMERY RHEUMATOLOGY ASSOCIATES, P.A.
MONTGOMERY, AL 36111
MONTGOMERY, AL 36111
33aNPI1992872683assigned 11/29/2006
33bProvider typeRheumatology Physician
28Total paid$108K
24GClaims8,841
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Rheumatology Physician providers in Alabama
Rank by total paid#3 of 14
Median peer was paid$17K
This provider vs. median6.3×
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 | 2,557 | $22K | |
| 2019 | 2,066 | $19K | |
| 2020 | 717 | $8K | |
| 2021 | 1,129 | $13K | |
| 2022 | 1,745 | $27K | |
| 2023 | 563 | $16K | |
| 2024incomplete | 64 | $3K |
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 | 31% | 1,464 | 1,349 | $34K |
| 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 | 29% | 1,084 | 997 | $32K |
| 86235 | 13% | 187 | 174 | $14K | |
| 80053 | Comprehensive metabolic panel | 10% | 1,974 | 1,854 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.7% | 1,858 | 1,736 | $8K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.9% | 173 | 163 | $2K |
| 86038 | 1.4% | 187 | 174 | $2K | |
| 86225 | 1.4% | 185 | 174 | $2K | |
| 86140 | <1% | 515 | 491 | $1K | |
| 86160 | <1% | 63 | 55 | $939.00 | |
| 81003 | <1% | 522 | 495 | $910.81 | |
| 85651 | <1% | 538 | 512 | $902.84 |
5 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 officialJAKES, JAMES (PRESIDENT)