Physician
Gulf Coast Pediatrics, LLC
Gulf Coast Pediatrics, LLC was paid $2.45M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoGULF COAST PEDIATRICS, LLC
MOBILE, AL 36619
MOBILE, AL 36619
33aNPI1194011288assigned 06/27/2011
33bProvider typePediatrics Physician
28Total paid$2.45M
24GClaims49,827
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#64 of 199
Median peer was paid$702K
This provider vs. median3.5×
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 | 6,733 | $324K | |
| 2019 | 8,226 | $389K | |
| 2020 | 5,925 | $275K | |
| 2021 | 8,327 | $408K | |
| 2022 | 7,904 | $379K | |
| 2023 | 7,247 | $360K | |
| 2024incomplete | 5,465 | $318K |
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 | 37% | 13,855 | 12,733 | $916K |
| 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 | 18% | 4,202 | 3,997 | $438K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 3,187 | 3,132 | $217K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 3,139 | 3,061 | $212K |
| 92587 | 5.3% | 3,367 | 3,296 | $129K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 1,663 | 1,624 | $113K |
| 90670 | 1.8% | 2,292 | 2,252 | $44K | |
| 87428 | 1.7% | 843 | 813 | $42K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.7% | 224 | 222 | $42K |
| 90723 | 1.5% | 1,891 | 1,868 | $37K | |
| 90680 | 1.5% | 1,833 | 1,812 | $36K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 2,556 | 2,466 | $35K |
23 more codes
| 90647 | 1.4% | 1,785 | $35K | |
| 90686 | 1.0% | 1,322 | $25K | |
| 90633 | 1.0% | 1,262 | $25K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,124 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,223 | $22K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 549 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 320 | $10K |
| 90677 | <1% | 270 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 170 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 58 | $4K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 225 | $4K |
| 90707 | <1% | 160 | $3K | |
| 90716 | <1% | 144 | $3K | |
| 90696 | <1% | 139 | $3K | |
| 90710 | <1% | 138 | $3K | |
| 90700 | <1% | 102 | $2K | |
| 90672 | <1% | 93 | $2K | |
| 90656 | <1% | 67 | $1K | |
| 87807 | <1% | 120 | $1K | |
| 36416 | <1% | 439 | $1K | |
| 90461 | <1% | 38 | $1K | |
| 90619 | <1% | 14 | $277.06 | |
| 90687 | <1% | 13 | $257.27 |
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 officialNAMAN, MICHELLE (MANAGING PARTNER)