Managed care
Healthykids of Gardendale
Healthykids of Gardendale was paid $742K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoHEALTHYKIDS OF GARDENDALE
GARDENDALE, AL 35071
GARDENDALE, AL 35071
33aNPI1245256494assigned 07/14/2006
33bProvider typePreferred Provider Organization
28Total paid$742K
24GClaims18,383
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Preferred Provider Organization providers in Alabama
Rank by total paid#4 of 10
Median peer was paid$219K
This provider vs. median3.4×
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 | 3,234 | $120K | |
| 2019 | 3,151 | $142K | |
| 2020 | 1,716 | $96K | |
| 2021 | 2,760 | $115K | |
| 2022 | 3,043 | $119K | |
| 2023 | 3,028 | $102K | |
| 2024incomplete | 1,451 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 4,880 | 4,188 | $367K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 5,184 | 4,419 | $260K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 360 | 330 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 333 | 311 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 165 | 145 | $14K |
| 87428 | 1.5% | 316 | 280 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 1,037 | 938 | $9K |
| 90686 | <1% | 585 | 570 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 140 | 105 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 180 | 159 | $3K |
| 99173 | <1% | 1,516 | 1,340 | $3K | |
| 90670 | <1% | 183 | 173 | $3K |
17 more codes
| 81003 | <1% | 1,342 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 142 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 168 | $2K |
| 90698 | <1% | 80 | $2K | |
| 90680 | <1% | 64 | $1K | |
| 96127 | <1% | 441 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $980.00 |
| 87430 | <1% | 73 | $834.12 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $735.75 |
| 96160 | <1% | 1,011 | $523.32 | |
| 90671 | <1% | 12 | $237.48 | |
| 90656 | <1% | 12 | $237.48 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | $110.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $100.00 |
| 36416 | <1% | 62 | $65.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $12.87 |
| 97802 | 0% | 15 | $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 officialHARRIS, PATRICIA (PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Family Focus, INC. | Henrico, VA | $7.26M |
| Foundation for Successful Living | Colorado Springs, CO | $5.97M |
| Family Focus, INC | Henrico, VA | $272K |
| Foundation for Successful Living, INC | Denver,, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.