Physician
Northeast Alabama Pediatrics, P.C.
Northeast Alabama Pediatrics, P.C. was paid $5.33M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoNORTHEAST ALABAMA PEDIATRICS, P.C.
GADSDEN, AL 35901
GADSDEN, AL 35901
33aNPI1306946546assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$5.33M
24GClaims158,528
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#31 of 199
Median peer was paid$702K
This provider vs. median7.6×
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 | 23,923 | $773K | |
| 2019 | 28,197 | $866K | |
| 2020 | 17,422 | $621K | |
| 2021 | 24,889 | $922K | |
| 2022 | 26,936 | $894K | |
| 2023 | 25,170 | $894K | |
| 2024incomplete | 11,991 | $355K |
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 | 43% | 38,875 | 34,706 | $2.30M |
| 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 | 17% | 9,767 | 8,922 | $899K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.8% | 33,517 | 30,214 | $308K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 4,612 | 4,327 | $266K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 4,004 | 3,815 | $234K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 2,764 | 2,579 | $161K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 2,436 | 2,337 | $144K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 11,064 | 10,452 | $143K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 6,514 | 6,153 | $135K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 1,052 | 956 | $95K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.6% | 2,438 | 2,318 | $85K |
| 90700 | 1.4% | 3,980 | 3,828 | $74K |
39 more codes
| 87081 | 1.1% | 7,726 | $57K | |
| 90713 | <1% | 2,866 | $53K | |
| 90670 | <1% | 2,690 | $51K | |
| 90648 | <1% | 2,568 | $48K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,665 | $29K |
| 90680 | <1% | 1,377 | $26K | |
| 90716 | <1% | 1,230 | $22K | |
| 90707 | <1% | 1,159 | $22K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 1,930 | $18K |
| 90633 | <1% | 901 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 431 | $16K |
| 92567 | <1% | 1,233 | $16K | |
| 90744 | <1% | 737 | $14K | |
| 90734 | <1% | 712 | $13K | |
| 90651 | <1% | 607 | $11K | |
| 92551 | <1% | 2,449 | $9K | |
| 87807 | <1% | 836 | $9K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 133 | $8K |
| 99173 | <1% | 1,504 | $6K | |
| 90686 | <1% | 296 | $6K | |
| 90715 | <1% | 301 | $5K | |
| 95125 | <1% | 264 | $3K | |
| 99050 | <1% | 175 | $3K | |
| 99381 | <1% | 37 | $2K | |
| 36416 | <1% | 1,029 | $2K | |
| 90461 | <1% | 61 | $2K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 14 | $2K |
| 81002 | <1% | 554 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 134 | $1K |
| 99460 | <1% | 13 | $1K | |
| 86308 | <1% | 167 | $918.06 | |
| 83655 | <1% | 54 | $750.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $691.70 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 420 | $598.12 |
| 99462 | <1% | 13 | $405.00 | |
| 96127 | <1% | 103 | $270.90 | |
| 90658 | <1% | 13 | $257.27 | |
| 90620 | <1% | 12 | $237.48 | |
| 94760 | 0% | 78 | $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 officialSKELTON, KENNETH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Skelton Pediatrics | Albertville, AL | $216K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.