Physician
Opelika Pediatrics & Family Clinic PC
Opelika Pediatrics & Family Clinic PC was paid $1.50M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoOPELIKA PEDIATRICS & FAMILY CLINIC PC
OPELIKA, AL 36804
OPELIKA, AL 36804
33aNPI1306240502assigned 10/16/2014
33bProvider typeAnesthesiology Physician
28Total paid$1.50M
24GClaims19,915
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anesthesiology Physician providers in Alabama
Rank by total paid#6 of 48
Median peer was paid$37K
This provider vs. median40×
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 | 1,919 | $149K | |
| 2019 | 3,757 | $264K | |
| 2020 | 3,729 | $258K | |
| 2021 | 2,305 | $172K | |
| 2022 | 2,655 | $202K | |
| 2023 | 3,584 | $276K | |
| 2024incomplete | 1,966 | $174K |
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 | 98% | 10,758 | 8,630 | $1.46M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 197 | 160 | $27K |
| 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 | <1% | 6,058 | 5,180 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,641 | 1,381 | $2K |
| 80305 | <1% | 60 | 59 | $607.26 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18 | 15 | $396.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | 16 | $192.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $168.00 |
| 90686 | <1% | 22 | 17 | $112.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 117 | 106 | $102.32 |
| 81002 | <1% | 34 | 34 | $96.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 812 | 728 | $90.70 |
3 more codes
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 officialCHANDRA, RITU (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Enterprises PC | Phenix City, AL | $5.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.