Physician
Southeastern Pediatric Associates, P.A.
Southeastern Pediatric Associates, P.A. was paid $17.34M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoSOUTHEASTERN PEDIATRIC ASSOCIATES, P.A.
DOTHAN, AL 36305
DOTHAN, AL 36305
33aNPI1093907412assigned 08/10/2007
33bProvider typePediatrics Physician
28Total paid$17.34M
24GClaims385,507
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#11 of 199
Median peer was paid$702K
This provider vs. median25×
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 | 46,830 | $2.09M | |
| 2019 | 60,971 | $2.54M | |
| 2020 | 42,942 | $2.01M | |
| 2021 | 60,268 | $2.92M | |
| 2022 | 64,511 | $2.86M | |
| 2023 | 61,411 | $2.62M | |
| 2024incomplete | 48,574 | $2.29M |
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 | 42% | 76,294 | 69,919 | $7.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 75,927 | 70,186 | $4.74M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 11,030 | 10,788 | $796K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 9,921 | 9,756 | $712K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 8,406 | 8,243 | $590K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 30,743 | 29,287 | $376K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 5,369 | 5,113 | $371K |
| 87428 | 2.1% | 8,190 | 7,566 | $362K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 10,508 | 10,054 | $263K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 25,727 | 12,428 | $260K |
| 90670 | 1.1% | 6,203 | 6,137 | $198K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 2,997 | 2,924 | $188K |
48 more codes
| 87081 | <1% | 24,409 | $172K | |
| 90461 | <1% | 1,964 | $122K | |
| 90698 | <1% | 4,513 | $112K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 11,266 | $98K |
| 92551 | <1% | 15,883 | $75K | |
| 99173 | <1% | 15,889 | $74K | |
| 90671 | <1% | 1,683 | $63K | |
| 90680 | <1% | 2,847 | $59K | |
| 99051 | <1% | 4,967 | $53K | |
| 90716 | <1% | 1,652 | $50K | |
| 90651 | <1% | 907 | $49K | |
| 90707 | <1% | 1,663 | $42K | |
| 90697 | <1% | 1,619 | $41K | |
| 90633 | <1% | 2,057 | $41K | |
| 90686 | <1% | 1,832 | $35K | |
| 96127 | <1% | 9,161 | $30K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,680 | $25K |
| 90619 | <1% | 448 | $21K | |
| 83655 | <1% | 1,293 | $18K | |
| 90744 | <1% | 829 | $16K | |
| 90734 | <1% | 202 | $8K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 479 | $8K |
| 90696 | <1% | 202 | $6K | |
| 90672 | <1% | 199 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 203 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 419 | $3K |
| 90715 | <1% | 122 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 205 | $3K |
| 81000 | <1% | 775 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 88 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 320 | $3K |
| 36416 | <1% | 1,082 | $3K | |
| 80053 | Comprehensive metabolic panel | <1% | 257 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,073 | $2K |
| 90656 | <1% | 96 | $2K | |
| 90685 | <1% | 94 | $2K | |
| 87400 | <1% | 466 | $2K | |
| 69210 | <1% | 37 | $1K | |
| 90620 | <1% | 58 | $1K | |
| 0072A | <1% | 12 | $480.00 | |
| 90473 | <1% | 16 | $399.91 | |
| 94664 | <1% | 42 | $380.00 | |
| 96380 | <1% | 26 | $263.76 | |
| 90380 | <1% | 12 | $237.48 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $147.95 |
| 99072 | 0% | 73 | $0.00 | |
| 91307 | 0% | 14 | $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 officialEVERETT, S. (OFFICE MANAGER)