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

The Children's Hospital of Alabama

The Children's Hospital of Alabama was paid $22.22M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoTHE CHILDREN'S HOSPITAL OF ALABAMA
HUEYTOWN, AL 35023
33aNPI1104903749assigned 11/01/2006
33bProvider typePediatrics Physician
28Total paid$22.22M
24GClaims518,296
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Alabama

Rank by total paid#6 of 199
Median peer was paid$702K
This provider vs. median32×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WALTON, DAWN controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201854,292$2.99M
201964,859$2.74M
202055,745$2.26M
202180,987$3.44M
202290,522$3.86M
202387,912$3.54M
2024incomplete83,979$3.40M
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 30% 67,988 62,875 $6.60M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 87,212 80,173 $5.49M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.2% 19,486 19,153 $1.38M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.7% 18,209 17,696 $1.27M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.8% 15,535 15,174 $1.07M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.1% 22,406 21,341 $916K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.1% 9,922 9,713 $693K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.7% 13,193 12,703 $600K
87428 2.6% 13,335 12,616 $586K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.0% 35,334 33,710 $445K
90698 1.8% 15,678 15,451 $390K
90670 1.6% 11,424 11,258 $361K
60 more codes
87634 1.2% 5,611 $257K
90686 1.0% 11,726 $225K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,756 $209K
90680 <1% 8,272 $184K
99173 <1% 33,862 $160K
90461 <1% 2,155 $140K
92551 <1% 26,368 $125K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,750 $100K
90633 <1% 4,922 $96K
90744 <1% 4,759 $91K
90651 <1% 2,962 $81K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 8,533 $79K
90677 <1% 2,172 $79K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 5,648 $63K
90671 <1% 1,817 $53K
96127 <1% 15,003 $50K
90734 <1% 1,738 $44K
83655 <1% 2,464 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 967 $30K
90619 <1% 1,199 $29K
99000 <1% 8,693 $28K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 479 $26K
94664 <1% 1,965 $20K
81003 <1% 6,697 $18K
90710 <1% 710 $16K
90656 <1% 842 $16K
36416 <1% 8,530 $16K
96161 <1% 5,433 $15K
90715 <1% 788 $14K
90696 <1% 722 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 525 $13K
90716 <1% 433 $9K
99215 Doctor's office visit, returning patient (complex) <1% 102 $9K
90707 <1% 436 $9K
0071A <1% 232 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 470 $8K
99461 <1% 67 $6K
0072A <1% 127 $5K
99203 Doctor's office visit, new patient (routine) <1% 47 $4K
36415 Collection of venous blood by venipuncture <1% 1,409 $3K
69210 <1% 49 $3K
D0145 Oral evaluation for a patient under three years of age <1% 172 $3K
90685 <1% 118 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 31 $2K
99204 Doctor's office visit, new patient (more involved) <1% 12 $2K
D1206 Topical application of fluoride varnish <1% 90 $2K
80061 Lipid panel <1% 98 $1K
90620 <1% 51 $969.71
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 39 $741.00
92567 <1% 28 $392.00
99051 <1% 14 $371.86
82247 <1% 75 $335.00
90700 <1% 13 $257.27
90648 <1% 12 $237.48
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 13 $213.46
99177 <1% 13 $181.32
86308 <1% 12 $72.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 $26.90
99080 0% 316 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 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 officialWALTON, DAWN (CFO)
Parent organizationTHE CHILDREN'S HOSPITAL OF ALABAMA
Same official

Other billing entities under WALTON, DAWN

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