Physician
Adult & Pediatric Medicine PC
Adult & Pediatric Medicine PC was paid $770K by Medicaid between Jan 2018 and Sep 2023, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoADULT & PEDIATRIC MEDICINE PC
MONTGOMERY, AL 36116
MONTGOMERY, AL 36116
33aNPI1073548004assigned 07/11/2006
33bProvider typeAdult Medicine Physician
28Total paid$770K
24GClaims20,791
24DCodes billed31
24AFirst – last monthJan 2018 – Sep 2023
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 | 3,199 | $141K | |
| 2019 | 3,865 | $166K | |
| 2020 | 3,840 | $148K | |
| 2021 | 4,630 | $150K | |
| 2022 | 3,498 | $113K | |
| 2023 | 1,759 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 2,132 | 1,988 | $206K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 3,067 | 2,843 | $202K |
| 99241 | 14% | 2,666 | 2,355 | $111K | |
| Q3014 | Telehealth originating site facility fee | 7.2% | 2,857 | 2,539 | $56K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 647 | 645 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 834 | 774 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 325 | 321 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 326 | 317 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 321 | 315 | $20K |
| 90670 | <1% | 394 | 390 | $8K | |
| 99242 | <1% | 82 | 78 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 458 | 451 | $6K |
19 more codes
| 99173 | <1% | 1,198 | $6K | |
| 92551 | <1% | 1,120 | $5K | |
| 90658 | <1% | 253 | $5K | |
| 36416 | <1% | 1,274 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,273 | $2K |
| 90700 | <1% | 123 | $2K | |
| 81025 | <1% | 831 | $2K | |
| 90648 | <1% | 119 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 166 | $2K |
| 90680 | <1% | 70 | $1K | |
| 90744 | <1% | 53 | $1K | |
| 90651 | <1% | 26 | $494.75 | |
| 90713 | <1% | 24 | $474.96 | |
| 90707 | <1% | 26 | $474.96 | |
| 90716 | <1% | 26 | $474.96 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 24 | $426.50 |
| 90734 | <1% | 14 | $217.69 | |
| 85018 | <1% | 37 | $108.00 | |
| 81003 | <1% | 25 | $75.00 |
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 officialMORGAN, LEATHA (VICE PRESIDENT)