Clinic
Pediatric Associates of Alexander City PC
Pediatric Associates of Alexander City PC was paid $8.40M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 52% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF ALEXANDER CITY PC
ALEXANDER CITY, AL 35010
ALEXANDER CITY, AL 35010
33aNPI1144284084assigned 04/17/2006
33bProvider typeRural Health Clinic/Center
28Total paid$8.40M
24GClaims190,578
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Alabama
Rank by total paid#3 of 80
Median peer was paid$818K
This provider vs. median10×
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 | 29,169 | $1.16M | |
| 2019 | 30,922 | $1.26M | |
| 2020 | 24,099 | $982K | |
| 2021 | 27,718 | $1.17M | |
| 2022 | 29,010 | $1.28M | |
| 2023 | 25,652 | $1.29M | |
| 2024incomplete | 24,008 | $1.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 52% | 35,661 | 27,499 | $4.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 48,756 | 42,478 | $1.89M |
| 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 | 7.2% | 16,568 | 13,822 | $607K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 5,144 | 4,644 | $201K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 4,726 | 4,192 | $172K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 4,301 | 3,913 | $167K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.4% | 5,179 | 4,707 | $118K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 2,473 | 2,273 | $100K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 2,142 | 1,858 | $75K |
| 99173 | <1% | 13,443 | 12,547 | $55K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,271 | 4,008 | $54K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,231 | 1,196 | $49K |
58 more codes
| 90670 | <1% | 2,835 | $46K | |
| 90686 | <1% | 2,471 | $44K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 718 | $38K |
| 92551 | <1% | 8,375 | $34K | |
| 90723 | <1% | 1,814 | $29K | |
| 90680 | <1% | 2,029 | $29K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 631 | $28K |
| 90647 | <1% | 1,655 | $26K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,014 | $21K |
| 92558 | <1% | 668 | $18K | |
| 90707 | <1% | 1,021 | $17K | |
| 90716 | <1% | 1,010 | $17K | |
| 90651 | <1% | 996 | $16K | |
| 96127 | <1% | 4,771 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,750 | $14K |
| 90633 | <1% | 958 | $14K | |
| 99460 | <1% | 240 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 423 | $13K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 219 | $12K |
| 83655 | <1% | 819 | $11K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 108 | $10K |
| 90461 | <1% | 187 | $9K | |
| 90734 | <1% | 544 | $9K | |
| 99462 | <1% | 327 | $8K | |
| 54150 | <1% | 113 | $8K | |
| 96160 | <1% | 3,081 | $7K | |
| D1206 | Topical application of fluoride varnish | <1% | 462 | $7K |
| 90696 | <1% | 279 | $5K | |
| 90620 | <1% | 267 | $4K | |
| 96161 | <1% | 2,339 | $4K | |
| 90715 | <1% | 222 | $4K | |
| 0002A | <1% | 106 | $4K | |
| 90697 | <1% | 453 | $3K | |
| 90674 | <1% | 406 | $3K | |
| 90677 | <1% | 326 | $3K | |
| 69210 | <1% | 134 | $3K | |
| 90671 | <1% | 290 | $2K | |
| 0001A | <1% | 94 | $2K | |
| 0072A | <1% | 69 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 197 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 69 | $2K |
| 0071A | <1% | 75 | $2K | |
| 90661 | <1% | 162 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 582 | $1K |
| 90710 | <1% | 127 | $960.00 | |
| 90700 | <1% | 54 | $911.18 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 89 | $747.00 |
| 81003 | <1% | 201 | $458.98 | |
| 87634 | <1% | 18 | $231.90 | |
| 36416 | <1% | 69 | $165.00 | |
| 90381 | <1% | 12 | $96.00 | |
| 90380 | <1% | 12 | $80.00 | |
| 85018 | <1% | 289 | $33.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 70 | $0.00 |
| 94761 | 0% | 89 | $0.00 | |
| 91307 | 0% | 106 | $0.00 | |
| 99000 | 0% | 18 | $0.00 | |
| 91300 | 0% | 220 | $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 officialTYLER, ERIC (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Associates of Alexander City PC | Kellyton, AL | $3.84M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.