Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE CHILDREN'S HOSPITAL OF ALABAMA

NPI: 1023113487 · BIRMINGHAM, AL 35233 · Pediatrics Physician · NPI assigned 09/13/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WALTON, DAWN controls 19+ related entities in our dataset. Read more

$7.49M
Total Medicaid Paid
193,516
Total Claims
185,643
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, DAWN (CFO)
Parent OrganizationTHE CHILDREN'S HOSPITAL OF ALABAMA
NPI Enumeration Date09/13/2006

Related Entities

Other providers sharing the same authorized official: WALTON, DAWN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $58.84M
THE CHILDREN'S HOSPITAL OF ALABAMA HUEYTOWN AL $22.22M
THE CHILDREN'S HOSPITAL OF ALABAMA TRUSSVILLE AL $18.36M
THE CHILDREN'S HOSPITAL OF ALABAMA HOOVER AL $17.71M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $15.82M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $11.98M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $5.70M
THE CHILDREN'S HOSPITAL OF ALABAMA HUNTSVILLE AL $5.66M
THE CHILDREN'S HOSPITAL OF ALABAMA MONTGOMERY AL $5.34M
THE CHILDREN'S HOSPITAL OF ALABAMA PELL CITY AL $4.64M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.73M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.66M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.46M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.92M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.90M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.46M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.24M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $122K
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $67K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,653 $1.17M
2019 25,024 $1.00M
2020 21,399 $778K
2021 30,627 $1.13M
2022 32,304 $1.20M
2023 34,706 $1.17M
2024 26,803 $1.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,403 37,558 $2.53M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,293 16,335 $1.74M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,971 7,884 $552K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,481 7,265 $507K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,370 7,240 $507K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,525 4,419 $316K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,141 3,037 $130K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,016 5,817 $127K
90670 5,641 5,534 $102K
92551 16,305 15,852 $100K
99173 18,149 17,667 $85K
90460 Immunization administration through 18 years of age via any route, first or only component 1,562 1,495 $85K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,742 7,624 $83K
90698 4,687 4,519 $81K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,075 2,932 $80K
90686 2,495 2,456 $46K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,070 2,993 $41K
90688 2,102 2,066 $39K
96127 10,179 9,950 $38K
90633 1,929 1,905 $36K
90744 1,980 1,890 $34K
90651 1,149 1,125 $33K
83655 1,678 1,663 $25K
90681 1,358 1,265 $22K
90461 316 313 $19K
90677 965 870 $14K
90734 495 484 $12K
87807 980 941 $10K
99177 693 686 $10K
36416 3,564 3,272 $8K
90685 443 433 $8K
99000 2,332 2,228 $8K
90656 308 306 $6K
96161 1,970 1,613 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 165 158 $6K
36415 Collection of venous blood by venipuncture 1,867 1,783 $5K
90619 292 273 $5K
90710 235 233 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 133 128 $4K
0072A 88 88 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33 32 $3K
90715 174 172 $3K
0071A 77 77 $3K
99461 40 39 $3K
90696 126 125 $2K
90621 110 107 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 84 81 $2K
90707 82 80 $2K
90716 81 79 $2K
92558 39 39 $444.54
81003 86 83 $258.00
85018 208 207 $255.02
94664 12 12 $120.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $53.80
91307 204 197 $0.00