Physician
Covington Pediatrics PA
Covington Pediatrics PA was paid $448K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCOVINGTON PEDIATRICS PA
ANDALUSIA, AL 36420
ANDALUSIA, AL 36420
33aNPI1093731242assigned 07/14/2006
33bProvider typePediatrics Physician
28Total paid$448K
24GClaims8,245
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#110 of 199
Median peer was paid$702K
This provider vs. median0.6×
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 | 1,588 | $101K | |
| 2019 | 1,896 | $105K | |
| 2020 | 1,124 | $62K | |
| 2021 | 1,346 | $65K | |
| 2022 | 1,052 | $49K | |
| 2023 | 685 | $38K | |
| 2024incomplete | 554 | $29K |
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 | 40% | 2,905 | 2,381 | $178K |
| 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 | 40% | 1,870 | 1,620 | $178K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 845 | 818 | $49K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.8% | 263 | 252 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 765 | 422 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 807 | 755 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | 30 | $3K |
| 90651 | <1% | 12 | 12 | $3K | |
| 90461 | <1% | 46 | 45 | $1K | |
| 90734 | <1% | 12 | 12 | $1K | |
| 0072A | <1% | 34 | 29 | $1K | |
| 90686 | <1% | 59 | 59 | $1K |
8 more codes
| 81002 | <1% | 330 | $843.03 | |
| 0001A | <1% | 18 | $640.00 | |
| 0071A | <1% | 21 | $640.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 55 | $365.24 |
| 99173 | <1% | 15 | $65.06 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 51 | $29.33 |
| 91307 | 0% | 80 | $0.00 | |
| 91300 | 0% | 27 | $0.00 |
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 officialBALDWIN, GABRIELLE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Covington Pediatrics PA | Andalusia, AL | $4.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.