Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cullman Primary Care, PC (NPI 1164743068)

Cullman Primary Care, PC is a family medicine physician provider located in Cullman, Alabama. This profile covers 0 Medicare and 64 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Cullman Primary Care, PC
Address	1800 Al Highway 157 Ste 100
City	Cullman
State	AL
ZIP	35058
Taxonomy	Family Medicine Physician
NPI Enumerated	June 15, 2010

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

64 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	17,230	$50	$826.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,790	$60	$358.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,620	$50	$136K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,880	$50	$92K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	4,520	$10	$45.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	830	$50	$38.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	2,560	$10	$33.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	340	$70	$22K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,250	$10	$17.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	330	$40	$12.3K

Showing 1–10 of 64

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Cullman Primary Care, PC — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

64 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	281	1,990	680	$60	$201.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	133	1,990	560	$40	$185.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	91	270	1,360	$60	$159.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	122	300	1,160	$50	$147.8K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	40	80	220	$70	$103.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	149	320	640	$50	$98.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	67	200	170	$50	$60.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	150	300	330	$50	$56.3K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	118	260	910	$20	$47.2K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	513	630	60	$80	$45.8K

Showing 1–10 of 64

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cullman Primary Care, PC	AL	Family Medicine Physician	$0	$1.1M
Ross Barnett	AL	Diagnostic Radiology Physician	$955.3K	$0
Cullman Primary Care, PC	AL	Clinical Medical Laboratory	$151.4K	$493.4K
Joseph Johnson	AL	Family Medicine Physician	$119.6K	$0
Bahador Tafazoli	AL	Sleep Medicine (Family Medicine) Physician	$106.1K	$0
Van Wadlington	AL	Diagnostic Radiology Physician	$97.5K	$0
Angelia Elliott	AL	Family Medicine Physician	$96.9K	$0
Silvio Papapietro	AL	Interventional Cardiology Physician	$86.6K	$0
Brad Moody	AL	Surgery Physician	$69.8K	$0
Connor Ojard	AL	Orthopaedic Surgery Physician	$61.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cullman Regional Medical Center, Inc	AL	General Acute Care Hospital	$0	$7.5M
North Central Neurology Associates, PC	AL	Neurology Physician	$0	$7.4M
Internal Medicine And Pediatrics Of Cullman	AL	Specialist	$0	$7M
Christopher Laganke	AL	Neurology Physician	$4.4M	$0
Henry Robson	AL	Oral and Maxillofacial Surgery (Dentist)	$5.3K	$3.5M
Island Medical Alabama LLC	AL	Emergency Medicine Physician	$0	$3.1M
Willow Tree Pediatrics PC	AL	Pediatrics Physician	$0	$1.4M
Crmc Medical Group LLC	AL	Multi-Specialty Clinic/Center	$0	$972.8K
Crmc Medical Group LLC	AL	Urgent Care Clinic/Center	$0	$968.5K
Vincent Karolewics	AL	Radiation Oncology Physician	$602.3K	$0

Cullman Primary Care, PC — Billing Profile & Reimbursement Data

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Cullman Primary Care, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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