Marshall County Pediatrics, PC
Marshall County Pediatrics, PC was paid $5.36M by Medicaid between Jan 2018 and Sep 2022, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoMARSHALL COUNTY PEDIATRICS, PC
GUNTERSVILLE, AL 35976
GUNTERSVILLE, AL 35976
33aNPI1043242514assigned 07/07/2006
33bProvider typeSpecialist
28Total paid$5.36M
24GClaims138,573
24DCodes billed38
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#5 of 162
Median peer was paid$49K
This provider vs. median109×
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 | 27,080 | $1.03M | |
| 2019 | 34,355 | $1.28M | |
| 2020 | 26,064 | $975K | |
| 2021 | 29,484 | $1.22M | |
| 2022 | 21,590 | $850K |
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 | 54% | 47,824 | 44,607 | $2.90M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.8% | 7,691 | 7,474 | $526K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 5,685 | 5,595 | $392K |
| 90670 | 3.9% | 6,035 | 5,888 | $210K | |
| 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 | 3.1% | 1,784 | 1,720 | $169K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 5,393 | 2,001 | $141K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 2,005 | 1,943 | $130K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 12,512 | 6,017 | $127K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,769 | 1,704 | $111K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 8,129 | 7,825 | $95K |
| 90723 | 1.7% | 4,022 | 3,920 | $89K | |
| 90680 | 1.4% | 3,532 | 3,446 | $76K |
26 more codes
| 90647 | 1.3% | 3,631 | $72K | |
| 90686 | 1.3% | 3,678 | $70K | |
| 90461 | <1% | 3,363 | $53K | |
| 99173 | <1% | 7,778 | $34K | |
| 92551 | <1% | 6,076 | $26K | |
| 90716 | <1% | 456 | $25K | |
| 90633 | <1% | 1,076 | $23K | |
| 90707 | <1% | 665 | $22K | |
| 90734 | <1% | 238 | $12K | |
| 90651 | <1% | 180 | $12K | |
| 87807 | <1% | 1,026 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 296 | $8K |
| 90685 | <1% | 378 | $7K | |
| 99000 | <1% | 2,528 | $7K | |
| 83655 | <1% | 254 | $4K | |
| 90715 | <1% | 112 | $2K | |
| 90696 | <1% | 29 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $492.00 |
| 0072A | <1% | 12 | $400.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $363.00 |
| 99001 | <1% | 99 | $336.00 | |
| 90700 | <1% | 12 | $289.41 | |
| 36416 | <1% | 120 | $272.50 | |
| 81002 | <1% | 79 | $224.61 | |
| 81000 | <1% | 14 | $45.22 | |
| 85014 | <1% | 38 | $3.00 |
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 officialPACKARD, JOHN (PRESIDENT)