Physician
Pediatric Clinic LLC
Pediatric Clinic LLC was paid $25.08M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoPEDIATRIC CLINIC LLC
OPELIKA, AL 36801
OPELIKA, AL 36801
33aNPI1134286248assigned 01/02/2007
33bProvider typePediatrics Physician
28Total paid$25.08M
24GClaims743,856
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#4 of 199
Median peer was paid$702K
This provider vs. median36×
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 | 82,279 | $3.02M | |
| 2019 | 96,192 | $3.39M | |
| 2020 | 71,943 | $2.86M | |
| 2021 | 109,993 | $4.20M | |
| 2022 | 136,293 | $4.19M | |
| 2023 | 137,787 | $3.97M | |
| 2024incomplete | 109,369 | $3.44M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55% | 219,643 | 202,070 | $13.87M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 25,769 | 24,420 | $1.70M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 24,449 | 23,102 | $1.58M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 15,122 | 14,433 | $976K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 27,781 | 27,102 | $702K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 9,425 | 9,031 | $627K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 28,343 | 27,159 | $571K |
| 90700 | 1.9% | 26,013 | 25,227 | $479K | |
| 90670 | 1.9% | 15,094 | 14,514 | $475K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 7,048 | 6,793 | $454K |
| 90713 | 1.4% | 18,606 | 17,994 | $361K | |
| 90648 | 1.3% | 18,869 | 18,307 | $326K |
48 more codes
| 90686 | <1% | 11,744 | $215K | |
| 90651 | <1% | 2,731 | $214K | |
| 90680 | <1% | 8,780 | $211K | |
| 92551 | <1% | 33,832 | $184K | |
| 99173 | <1% | 43,167 | $182K | |
| 90716 | <1% | 4,376 | $162K | |
| 87428 | <1% | 3,208 | $152K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 5,664 | $143K |
| 90461 | <1% | 3,309 | $136K | |
| 90707 | <1% | 4,779 | $129K | |
| 90671 | <1% | 3,657 | $125K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,228 | $110K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,851 | $107K |
| 90633 | <1% | 5,558 | $106K | |
| 99051 | <1% | 44,598 | $104K | |
| 90744 | <1% | 5,201 | $94K | |
| 90688 | <1% | 5,039 | $89K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,177 | $75K |
| 90734 | <1% | 1,720 | $74K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,927 | $64K |
| 87081 | <1% | 6,294 | $44K | |
| 90619 | <1% | 576 | $35K | |
| 99460 | <1% | 410 | $34K | |
| 90656 | <1% | 1,126 | $21K | |
| 0001A | <1% | 448 | $16K | |
| 36416 | <1% | 6,717 | $15K | |
| 0002A | <1% | 389 | $15K | |
| 90715 | <1% | 611 | $13K | |
| 87634 | <1% | 234 | $11K | |
| 90685 | <1% | 495 | $9K | |
| 90380 | <1% | 90 | $9K | |
| 87807 | <1% | 750 | $8K | |
| 83655 | <1% | 533 | $8K | |
| 0071A | <1% | 219 | $7K | |
| 0072A | <1% | 162 | $6K | |
| 90687 | <1% | 328 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $5K |
| 90658 | <1% | 279 | $5K | |
| 81002 | <1% | 904 | $2K | |
| 85018 | <1% | 4,345 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 167 | $1K |
| 99462 | <1% | 32 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 115 | $1K |
| 96380 | <1% | 22 | $496.82 | |
| 0073A | <1% | 13 | $492.00 | |
| 88720 | <1% | 81 | $318.06 | |
| 3008F | 0% | 81,738 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 17 | $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 officialSMALLEY, DAVID (PARTNER)