Medicaid Provider Spending

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

BIRMINGHAM PEDIATRIC ASSOC

NPI: 1174611081 · BIRMINGHAM, AL 35205 · Pediatrics Physician · NPI assigned 10/10/2006

$2.49M
Total Medicaid Paid
43,356
Total Claims
40,661
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWEST, DEBBIE (PRACTICE ADMINISTRATOR)
NPI Enumeration Date10/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,271 $370K
2019 6,891 $342K
2020 4,385 $245K
2021 5,615 $335K
2022 7,004 $430K
2023 6,728 $431K
2024 5,462 $336K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,658 6,621 $601K
90460 Immunization administration through 18 years of age via any route, first or only component 4,566 4,427 $325K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,886 1,728 $236K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,796 1,748 $174K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,757 1,617 $164K
90670 837 809 $158K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,209 1,187 $119K
90461 2,304 2,252 $90K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,394 1,317 $65K
90671 226 223 $54K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 995 931 $47K
90713 1,181 1,158 $42K
90700 1,625 1,598 $41K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 301 297 $33K
90680 359 357 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,643 2,441 $28K
99177 1,560 1,531 $28K
90716 208 199 $28K
90651 116 114 $26K
90686 1,148 1,128 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,585 2,378 $19K
87070 2,127 1,963 $17K
90707 205 196 $15K
90674 462 457 $15K
90734 104 101 $14K
90648 1,149 1,126 $13K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 113 109 $11K
99051 475 435 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 524 446 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 345 343 $9K
87634 205 195 $9K
90677 29 29 $8K
90633 197 190 $6K
90661 142 139 $5K
90744 65 65 $2K
86156 241 220 $2K
99460 13 13 $1K
90715 44 43 $1K
99238 Hospital discharge day management, 30 minutes or less 14 14 $1K
0072A 25 23 $812.00
0071A 37 37 $724.23
80061 Lipid panel 63 62 $707.60
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 32 31 $656.88
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 13 12 $598.13
0002A 15 14 $503.95
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 17 17 $425.00
90685 21 20 $381.60
0001A 14 14 $284.62
83655 29 27 $284.05
36415 Collection of venous blood by venipuncture 78 75 $231.15
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $155.02
96127 18 18 $105.06
36416 17 14 $48.30
81003 13 12 $29.90
91300 45 40 $0.00
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) 14 14 $0.00
91307 84 73 $0.00