Medicaid Provider Spending

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

PATHWAY PEDIATRICS, INC.

NPI: 1083014658 · SYLACAUGA, AL 35150 · Pediatrics Physician · NPI assigned 09/02/2014

$8.58M
Total Medicaid Paid
171,098
Total Claims
142,655
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSAWYER, LESLIE (PRESIDENT / PEDIATRICIAN)
NPI Enumeration Date09/02/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,284 $574K
2019 31,394 $1.06M
2020 18,231 $916K
2021 24,223 $1.38M
2022 23,872 $1.42M
2023 29,233 $1.66M
2024 27,861 $1.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 37,386 29,435 $5.44M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,471 25,440 $1.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,825 17,269 $574K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,883 3,729 $166K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,241 4,649 $148K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,025 3,547 $111K
90670 2,353 2,131 $98K
90460 Immunization administration through 18 years of age via any route, first or only component 1,778 1,537 $91K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,067 1,768 $83K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,288 3,533 $77K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,065 2,724 $71K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,099 2,533 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,192 4,695 $61K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,875 1,806 $47K
90723 1,629 1,501 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,288 1,153 $33K
90686 2,604 2,350 $31K
90461 549 520 $28K
90680 1,017 972 $27K
90651 453 377 $26K
92551 6,281 5,642 $25K
90648 2,543 2,351 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,411 4,041 $22K
90633 1,014 896 $13K
99173 7,425 6,646 $11K
90677 189 184 $11K
90734 294 247 $11K
80061 Lipid panel 648 581 $8K
81025 2,333 1,986 $6K
36416 2,600 2,193 $5K
90710 68 68 $5K
90671 100 100 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,227 1,881 $4K
96127 1,761 1,551 $3K
87807 437 327 $3K
96119 68 57 $2K
90715 147 126 $2K
83655 160 146 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 125 58 $2K
90696 84 80 $2K
96120 68 57 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20 14 $1K
90716 25 24 $1K
85018 530 497 $1K
90707 27 26 $887.90
99215 Prolong outpt/office vis 46 41 $886.73
90656 69 69 $874.05
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 137 83 $861.16
90700 64 63 $683.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 17 $428.32
99177 27 27 $337.61
36415 Collection of venous blood by venipuncture 226 197 $321.34
90647 16 16 $316.64
99401 35 29 $281.45
90688 14 14 $249.76
81003 75 71 $206.90
81002 57 49 $143.61
99072 211 187 $140.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 14 $121.08
96161 59 54 $101.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg 182 132 $55.20
J0696 Injection, ceftriaxone sodium, per 250 mg 21 12 $2.82
99080 150 132 $0.01