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.

Birmingham Internal Medicine Associates, LLC (NPI 1598796542)

Birmingham Internal Medicine Associates, LLC is a internal medicine physician provider located in Birmingham, Alabama. This profile covers 0 Medicare and 110 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	Birmingham Internal Medicine Associates, LLC
Address	7191 Cahaba Valley Rd
City	Birmingham
State	AL
ZIP	35242
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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

110 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…	19,520	$50	$956.2K
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…	15,180	$60	$910.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	3,140	$40	$125.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,020	$70	$69.1K
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…	1,020	$70	$68.2K
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.	4,420	$10	$48.7K
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.	3,810	$10	$41.9K
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…	610	$70	$41.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	4,640	$10	$32.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	450	$70	$31.1K

Showing 1–10 of 110

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

Birmingham Internal Medicine Associates, LLC — 2 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

110 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	69	90	500	$40	$303.6K
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…	92	1,990	680	$60	$201.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	268	330	140	$240	$197.4K
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…	117	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…	173	270	1,360	$60	$159.7K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	56	80	300	$10	$159.1K
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…	159	300	1,160	$50	$147.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	204	250	420	$50	$133K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	44	130	260	$10	$124.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	125	200	2,000	$10	$105.9K

Showing 1–10 of 110

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ross Barnett	AL	Diagnostic Radiology Physician	$955.3K	$0
Shawn Smith	AL	Internal Medicine Physician	$137.4K	$0
Carl Russell	AL	Family Medicine Physician	$136.4K	$0
Michael Dupre	AL	Family Medicine Physician	$125.8K	$0
Joseph Johnson	AL	Family Medicine Physician	$119.6K	$0
Ashley Pauldin	AL	Family Nurse Practitioner	$109.9K	$0
Scott Boyken	AL	Sports Medicine (Family Medicine) Physician	$107.3K	$0
Laura Johnson	AL	Family Medicine Physician	$100.5K	$0
Andrew Smith	AL	Family Medicine Physician	$95.4K	$0
Stephen Fortson	AL	Internal Medicine Physician	$94.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Urgent Care, LLC	AL	Urgent Care Clinic/Center	$0	$16.2M
Prohealth Hospice-alabama, LLC	AL	Community Based Hospice Care Agency	$0	$3.8M
Jonathan Curtis	AL	Pediatric Dentistry	$0	$3.4M
Southeast Diabetes, Inc.	AL	Durable Medical Equipment & Medical Supplies	$0	$1.9M
Children's Dentistry Of Alabama	AL	Pediatric Dentistry	$0	$1.6M
Glenwood Inc	AL	Speech-Language Pathologist	$0	$1.2M
Christopher Harmon	AL	MOHS-Micrographic Surgery Physician	$1.1M	$0
Brian King	AL	MOHS-Micrographic Surgery Physician	$998.5K	$0
Growing Up Pediatrics, P.C.	AL	Pediatrics Physician	$0	$992.3K
Evans Bailey	AL	MOHS-Micrographic Surgery Physician	$780.1K	$0

Birmingham Internal Medicine Associates, LLC — 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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