Medicaid Provider Spending

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

PEDIATRICS PLUS, P.C.

NPI: 1104137439 · ANNISTON, AL 36207 · Pediatrics Physician · NPI assigned 07/01/2010

$14.33M
Total Medicaid Paid
394,292
Total Claims
376,501
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, CHARLES (OWNER)
NPI Enumeration Date07/01/2010

Related Entities

Other providers sharing the same authorized official: THOMAS, CHARLES

ProviderCityStateTotal Paid
BEYOND BOUNDARIES SUPPORTIVE LIVING LLC LITTLE ROCK AR $9.68M
JAY PUBLIC SCHOOLS JAY OK $458K
HANOVER FAMILY PHYSICIANS P.C. MECHANICSVILLE VA $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,276 $1.34M
2019 48,016 $1.51M
2020 38,904 $1.25M
2021 54,469 $1.82M
2022 55,285 $1.91M
2023 81,583 $3.27M
2024 76,759 $3.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 60,512 56,089 $5.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,868 31,286 $1.78M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,686 3,593 $753K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 4,356 4,142 $721K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,846 11,617 $679K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,404 10,056 $594K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26,595 25,515 $562K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 18,848 18,105 $513K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,598 8,431 $489K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28,070 26,902 $335K
87634 6,333 5,587 $298K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,250 3,162 $189K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,682 3,594 $171K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,411 15,436 $152K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,670 3,591 $129K
96127 24,655 23,550 $122K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,737 4,586 $117K
90460 Immunization administration through 18 years of age via any route, first or only component 2,582 2,470 $112K
90670 4,830 4,729 $105K
87581 3,695 3,595 $96K
87486 3,696 3,596 $96K
87640 4,504 4,365 $94K
87498 3,693 3,595 $78K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 909 879 $72K
99173 18,245 17,842 $72K
90461 1,326 1,278 $70K
92551 15,198 14,863 $66K
90680 3,210 3,158 $62K
99215 Prolong outpt/office vis 477 458 $62K
81003 21,308 20,536 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 442 428 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,578 6,471 $54K
90698 2,646 2,584 $51K
90686 2,491 2,455 $48K
90671 1,597 1,593 $42K
90633 2,160 2,118 $42K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,012 933 $41K
90697 1,963 1,947 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,720 2,597 $31K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 221 208 $28K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,427 3,255 $26K
D1206 Topical application of fluoride varnish 1,166 1,141 $25K
94010 1,196 1,138 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 837 804 $19K
90744 903 879 $17K
92567 1,188 1,115 $13K
83655 710 687 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 168 158 $8K
94664 889 860 $7K
90656 335 333 $7K
86308 1,150 1,110 $7K
90734 83 81 $5K
90651 108 107 $5K
90685 238 237 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 153 152 $4K
87641 173 171 $4K
87500 173 171 $4K
D0145 Oral evaluation for a patient under three years of age 109 107 $2K
90688 125 125 $2K
99000 591 577 $2K
85018 754 742 $2K
90710 90 88 $2K
94060 61 60 $2K
83036 Hemoglobin; glycosylated (A1C) 140 132 $2K
90696 75 74 $1K
69210 65 60 $1K
90619 66 63 $1K
90716 49 49 $969.71
90707 49 49 $969.71
J0696 Injection, ceftriaxone sodium, per 250 mg 602 576 $889.01
88720 148 92 $748.98
36416 281 275 $558.00
G0444 Annual depression screening, 5 to 15 minutes 46 45 $533.24
J1040 Injection, methylprednisolone acetate, 80 mg 42 40 $496.77
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $402.88
82947 107 102 $394.94
90715 12 12 $237.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg 374 369 $200.95
87339 12 12 $132.00
99050 45 44 $41.78
96160 41 40 $41.66
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,967 1,921 $4.21
94760 248 238 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 256 254 $0.00