SYLACAUGA PEDIATRIC CLINIC, LLC
NPI: 1184776551
· SYLACAUGA, AL 35150
· 208000000X
$4.40M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
21,775 |
$448K |
| 2019 |
21,488 |
$525K |
| 2020 |
15,605 |
$546K |
| 2021 |
21,952 |
$713K |
| 2022 |
25,140 |
$744K |
| 2023 |
25,855 |
$834K |
| 2024 |
18,156 |
$589K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
14,793 |
12,952 |
$1.14M |
| 99213 |
|
16,682 |
14,484 |
$895K |
| 87633 |
|
3,091 |
2,798 |
$578K |
| 87811 |
|
12,456 |
11,463 |
$322K |
| 87804 |
|
15,122 |
13,739 |
$269K |
| 87880 |
|
18,036 |
16,699 |
$224K |
| 85027 |
|
26,235 |
23,275 |
$118K |
| 87801 |
|
2,313 |
2,075 |
$112K |
| 90460 |
|
1,884 |
1,716 |
$77K |
| 87635 |
|
1,795 |
1,691 |
$75K |
| 87426 |
|
2,760 |
2,591 |
$69K |
| 87637 |
|
784 |
687 |
$65K |
| 87070 |
|
4,544 |
4,302 |
$48K |
| 99392 |
|
882 |
760 |
$45K |
| 87634 |
|
1,014 |
926 |
$44K |
| 99393 |
|
845 |
718 |
$43K |
| 86308 |
|
6,031 |
5,675 |
$33K |
| 96132 |
|
354 |
281 |
$25K |
| 90461 |
|
534 |
502 |
$24K |
| 99394 |
|
471 |
361 |
$22K |
| 87086 |
|
2,394 |
2,124 |
$22K |
| 84702 |
|
2,100 |
1,835 |
$22K |
| 96110 |
|
2,075 |
1,820 |
$18K |
| 99391 |
|
283 |
224 |
$14K |
| 99238 |
|
257 |
230 |
$14K |
| 99462 |
|
285 |
195 |
$9K |
| 81003 |
|
3,166 |
2,779 |
$8K |
| 99460 |
|
157 |
133 |
$8K |
| 90686 |
|
611 |
564 |
$6K |
| G2023 |
Specimen collect covid-19 |
444 |
402 |
$6K |
| 96138 |
|
290 |
238 |
$6K |
| 90670 |
|
649 |
526 |
$5K |
| 90734 |
|
110 |
70 |
$5K |
| 87420 |
|
358 |
324 |
$5K |
| J1050 |
Medroxyprogesterone acetate |
67 |
64 |
$4K |
| 82948 |
|
1,076 |
970 |
$4K |
| 96101 |
|
70 |
58 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,563 |
1,364 |
$3K |
| 36416 |
|
1,041 |
960 |
$2K |
| 90619 |
|
45 |
27 |
$2K |
| 83036 |
|
90 |
84 |
$968.66 |
| 90680 |
|
263 |
197 |
$944.00 |
| 90633 |
|
176 |
142 |
$943.92 |
| 96103 |
|
70 |
57 |
$871.71 |
| 99464 |
|
14 |
13 |
$858.00 |
| 86318 |
|
60 |
56 |
$702.00 |
| 99173 |
|
263 |
233 |
$610.00 |
| 90688 |
|
55 |
50 |
$600.48 |
| 90677 |
|
102 |
75 |
$576.00 |
| 90715 |
|
58 |
27 |
$506.35 |
| 90698 |
|
161 |
98 |
$456.00 |
| 92551 |
|
177 |
156 |
$345.00 |
| 96372 |
|
29 |
26 |
$314.00 |
| 96161 |
|
104 |
102 |
$296.94 |
| 90651 |
|
76 |
50 |
$280.00 |
| 90710 |
|
37 |
25 |
$192.00 |
| 90671 |
|
17 |
13 |
$104.00 |
| 90685 |
|
23 |
13 |
$96.00 |
| 90723 |
|
59 |
48 |
$88.00 |
| 90696 |
|
14 |
12 |
$88.00 |
| 90648 |
|
59 |
47 |
$88.00 |
| 36415 |
|
38 |
37 |
$74.00 |
| 99211 |
|
99 |
42 |
$54.00 |
| 90716 |
|
13 |
13 |
$32.00 |
| 90707 |
|
13 |
13 |
$32.00 |
| 99000 |
|
220 |
204 |
$0.00 |
| 99401 |
|
14 |
14 |
$0.00 |