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Medicare Alabama · CY2024

Who bills the most Professional service for preparation and provision of 1 or more antigens (95165) to Medicare in Alabama?

Medicare Part B FFS · CY2024 · as published by CMS
23
Billing groups
67,606
Named-group FFS services
$1,290,280
Named-group submitted charges
$19
Avg charge / service
$12
Avg allowed / service
56%
Top-5 concentration
0%
Independent share

23 physician groups billed Professional service for preparation and provision of 1 or more antigens (95165) to Medicare fee-for-service in Alabama in 2024; the top five named groups hold 56% of that volume, and independent (non-hospital-affiliated) groups deliver 0%.

95165 — Professional service for preparation and provision of 1 or more antigens · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole Alabama market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 40% of Medicare in Alabama; Medicare Advantage penetration 46% → 60% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 95165 svcs Share*Phone
1 PREMIER HEALTH MANAGEMENT INC MOBILEALOTOLARYNGOLOGY 55 12,898 13.6% (251) 473-1900
2 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAMALOTOLARYNGOLOGY 43 8,550 9.0% (205) 212-3540
3 DEKALB SPECIALTY CARE FORT PAYNEALNURSE PRACTITIONER 19 6,223 6.6% (256) 979-1550
4 PULMONARY ASSOCIATES OF MOBILE PC MOBILEALPULMONARY DISEASE 35 5,042 5.3% (251) 343-6848
5 HELEN KELLER SPECIALTY CARE SHEFFIELDALNURSE PRACTITIONER 25 5,031 5.3% (256) 383-3372
6 ENT CARE PC DOTHANALOTOLARYNGOLOGY 8 3,670 3.9% (334) 793-4788
7 TUSCALOOSA EAR NOSE AND THROAT CENTER PC TUSCALOOSAALOTOLARYNGOLOGY 8 3,357 3.5% (205) 758-9041
8 DECATUR ENT ASSOCIATES PC DECATURALOTOLARYNGOLOGY 5 3,240 3.4% (256) 355-6200
9 SOUTHERN ENT AND SINUS CENTER PC BIRMINGHAMALOTOLARYNGOLOGY 3 2,700 2.8% (205) 838-3755
10 EAST ALABAMA EAR, NOSE, AND THROAT, PC OPELIKAALOTOLARYNGOLOGY 10 1,955 2.1% (334) 705-0012
11 NORTH ALABAMA ENT ASSOCIATES HUNTSVILLEALOTOLARYNGOLOGY 26 1,793 1.9% (256) 536-9300
12 HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS MONTGOMERYALNURSE PRACTITIONER 259 1,760 1.9% (334) 747-8970
13 DOWLING AND CALDWELL MD PC GADSDENALOTOLARYNGOLOGY 2 1,566 1.7% (256) 543-9302
14 ALLERVIE HEALTH, PROFESSIONAL CORPORATION BIRMINGHAMALNURSE PRACTITIONER 15 1,497 1.6% (205) 871-9661
15 ENT CENTER OF NORTHWEST ALABAMA, LLC FLORENCEALNURSE PRACTITIONER 5 1,440 1.5% (417) 986-6734
16 ALABAMA ENT AND ALLERGY PC BIRMINGHAMALNURSE PRACTITIONER 7 1,273 1.3% (205) 982-7220
17 ALLERGY,ASTHMA AND CLINICAL IMMUNOLOGY SPECIALISTS, P.C. HUNTSVILLEALALLERGY/IMMUNOLOGY 4 1,270 1.3% (256) 382-0070
18 SHOALS PRIMARY CARE, LLC SHEFFIELDALNURSE PRACTITIONER 43 1,260 1.3% (256) 383-4473
19 CONTINUUM HEALTH AIC, INC CHATTANOOGAALNEUROLOGY 13 768 0.8% (423) 698-3423
20 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAMALNURSE PRACTITIONER 2788 665 0.7% (205) 934-3460
21 BAPTIST HEALTH CENTERS LLC BIRMINGHAMALNURSE PRACTITIONER 181 600 0.6% (205) 795-5390
22 PREMIER ALLERGIST OF FLORIDA LLC VENICEALALLERGY/IMMUNOLOGY 23 568 0.6% (941) 800-2901
23 JACKSON HOSPITAL AND CLINIC, INC MONTGOMERYALNURSE PRACTITIONER 120 480 0.5% (334) 284-1500

*Share of Alabama's disclosed Medicare-FFS services for 95165, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 95165 in Alabama — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →