Medicaid Provider Spending

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

THE CHILDREN'S HOSPITAL OF ALABAMA

NPI: 1124105762 · HOOVER, AL 35244 · Pediatrics Physician · NPI assigned 11/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WALTON, DAWN controls 19+ related entities in our dataset. Read more

$17.71M
Total Medicaid Paid
382,108
Total Claims
365,763
Beneficiaries
78
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, DAWN (CFO)
Parent OrganizationTHE CHILDREN'S HOSPITAL OF ALABAMA
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: WALTON, DAWN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $58.84M
THE CHILDREN'S HOSPITAL OF ALABAMA HUEYTOWN AL $22.22M
THE CHILDREN'S HOSPITAL OF ALABAMA TRUSSVILLE AL $18.36M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $15.82M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $11.98M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $7.49M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $5.70M
THE CHILDREN'S HOSPITAL OF ALABAMA HUNTSVILLE AL $5.66M
THE CHILDREN'S HOSPITAL OF ALABAMA MONTGOMERY AL $5.34M
THE CHILDREN'S HOSPITAL OF ALABAMA PELL CITY AL $4.64M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.73M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.66M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.46M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.92M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.90M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.46M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.24M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $122K
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $67K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,903 $2.38M
2019 53,163 $2.29M
2020 43,476 $1.89M
2021 64,776 $2.87M
2022 65,036 $2.88M
2023 58,274 $2.66M
2024 53,480 $2.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,562 74,212 $5.46M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,084 31,839 $3.32M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15,621 15,356 $1.20M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,244 12,071 $930K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,305 10,120 $796K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18,301 17,562 $755K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 13,449 12,975 $610K
90460 Immunization administration through 18 years of age via any route, first or only component 7,912 7,817 $576K
90670 8,873 8,721 $489K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,524 4,445 $387K
90698 9,574 9,440 $305K
90461 4,399 4,365 $271K
90680 6,530 6,461 $243K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18,496 17,846 $223K
90651 1,599 1,577 $220K
90686 11,365 11,169 $216K
90710 1,764 1,717 $141K
87070 14,246 13,806 $134K
90677 1,681 1,663 $121K
90716 1,488 1,469 $107K
90633 3,758 3,676 $90K
90671 1,139 1,126 $78K
90744 3,609 3,543 $76K
99173 19,424 18,899 $75K
90734 870 848 $74K
92551 16,594 16,162 $71K
90707 1,421 1,408 $69K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,181 3,045 $65K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,331 7,056 $64K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,531 1,525 $46K
96127 6,731 6,588 $40K
90619 436 434 $39K
90700 1,654 1,641 $38K
90713 1,156 1,150 $36K
87634 802 771 $36K
90685 1,647 1,627 $32K
99051 1,564 1,506 $31K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,642 2,572 $30K
80061 Lipid panel 1,859 1,725 $23K
90656 1,130 1,120 $22K
99177 936 926 $19K
90715 604 591 $17K
99215 Prolong outpt/office vis 151 146 $17K
36416 14,082 12,674 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 129 111 $10K
90696 262 258 $10K
90648 929 923 $10K
83655 665 637 $9K
0072A 200 200 $8K
99381 96 95 $6K
0001A 182 180 $6K
0071A 185 185 $6K
G0444 Annual depression screening, 5 to 15 minutes 226 224 $5K
0002A 147 147 $5K
36415 Collection of venous blood by venipuncture 1,424 1,365 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 147 134 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31 21 $3K
90672 138 136 $3K
99461 28 27 $2K
81003 865 812 $2K
99383 27 25 $1K
69210 41 26 $1K
99000 916 884 $949.67
90660 29 29 $725.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 70 66 $616.42
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 37 37 $573.78
0081A 13 13 $480.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 351 342 $447.42
87086 Culture, bacterial; quantitative colony count, urine 57 52 $438.36
94760 1,199 1,124 $433.94
96380 17 17 $416.56
99401 16 14 $307.08
96161 72 71 $227.47
85013 60 57 $160.46
92558 13 13 $142.68
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 13 13 $4.94
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 271 255 $0.00
99080 1,983 1,880 $0.00