Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatrics Plus, P.C.

Pediatrics Plus, P.C. was paid $14.33M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoPEDIATRICS PLUS, P.C.
ANNISTON, AL 36207
33aNPI1104137439assigned 07/01/2010
33bProvider typePediatrics Physician
28Total paid$14.33M
24GClaims394,292
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Alabama

Rank by total paid#14 of 199
Median peer was paid$702K
This provider vs. median20×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201839,276$1.34M
201948,016$1.51M
202038,904$1.25M
202154,469$1.82M
202255,285$1.91M
202381,583$3.27M
2024incomplete76,759$3.22M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 60,512 56,089 $5.04M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 33,868 31,286 $1.78M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5.3% 3,686 3,593 $753K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5.0% 4,356 4,142 $721K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.7% 11,846 11,617 $679K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.1% 10,404 10,056 $594K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.9% 26,595 25,515 $562K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3.6% 18,848 18,105 $513K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.4% 8,598 8,431 $489K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.3% 28,070 26,902 $335K
87634 2.1% 6,333 5,587 $298K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 3,250 3,162 $189K
72 more codes
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.2% 3,682 $171K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 16,411 $152K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 3,670 $129K
96127 <1% 24,655 $122K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 4,737 $117K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,582 $112K
90670 <1% 4,830 $105K
87581 <1% 3,695 $96K
87486 <1% 3,696 $96K
87640 <1% 4,504 $94K
87498 <1% 3,693 $78K
99203 Doctor's office visit, new patient (routine) <1% 909 $72K
99173 <1% 18,245 $72K
90461 <1% 1,326 $70K
92551 <1% 15,198 $66K
90680 <1% 3,210 $62K
99215 Doctor's office visit, returning patient (complex) <1% 477 $62K
81003 <1% 21,308 $60K
99204 Doctor's office visit, new patient (more involved) <1% 442 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 6,578 $54K
90698 <1% 2,646 $51K
90686 <1% 2,491 $48K
90671 <1% 1,597 $42K
90633 <1% 2,160 $42K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,012 $41K
90697 <1% 1,963 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,720 $31K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 221 $28K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,427 $26K
D1206 Topical application of fluoride varnish <1% 1,166 $25K
94010 <1% 1,196 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 837 $19K
90744 <1% 903 $17K
92567 <1% 1,188 $13K
83655 <1% 710 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 168 $8K
94664 <1% 889 $7K
90656 <1% 335 $7K
86308 <1% 1,150 $7K
90734 <1% 83 $5K
90651 <1% 108 $5K
90685 <1% 238 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 153 $4K
87641 <1% 173 $4K
87500 <1% 173 $4K
D0145 Oral evaluation for a patient under three years of age <1% 109 $2K
90688 <1% 125 $2K
99000 <1% 591 $2K
85018 <1% 754 $2K
90710 <1% 90 $2K
94060 <1% 61 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 140 $2K
90696 <1% 75 $1K
69210 <1% 65 $1K
90619 <1% 66 $1K
90716 <1% 49 $969.71
90707 <1% 49 $969.71
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 602 $889.01
88720 <1% 148 $748.98
36416 <1% 281 $558.00
G0444 Annual depression screening, 5 to 15 minutes <1% 46 $533.24
J1040 Injection, methylprednisolone acetate, 80 mg <1% 42 $496.77
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 16 $402.88
82947 <1% 107 $394.94
90715 <1% 12 $237.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 374 $200.95
87339 <1% 12 $132.00
99050 <1% 45 $41.78
96160 <1% 41 $41.66
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 1,967 $4.21
94760 0% 248 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 256 $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 officialTHOMAS, CHARLES (OWNER)
Same official

Other billing entities under THOMAS, CHARLES

Full network →
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.