Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC ASSOCIATES OF AUBURN

NPI: 1316099203 · OPELIKA, AL 36801 · Pediatric Adolescent Medicine Physician · NPI assigned 01/18/2007

$4.24M
Total Medicaid Paid
99,335
Total Claims
91,527
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARLTON, DIANNE (OFFICE MANAGER)
NPI Enumeration Date01/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,730 $467K
2019 13,897 $555K
2020 10,839 $447K
2021 16,170 $649K
2022 18,081 $758K
2023 15,815 $763K
2024 12,803 $600K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,880 32,820 $2.40M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,023 2,763 $272K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,495 3,404 $240K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,387 2,250 $219K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,953 2,853 $205K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13,428 12,665 $172K
90460 Immunization administration through 18 years of age via any route, first or only component 1,658 1,610 $92K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,844 3,633 $80K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,774 2,665 $72K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,996 3,806 $60K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 875 854 $59K
90698 2,431 2,388 $51K
90670 2,102 2,060 $49K
87428 767 748 $36K
90686 1,903 1,853 $36K
90461 445 440 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,169 1,990 $20K
90680 917 908 $20K
92551 3,464 3,325 $20K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,311 1,267 $18K
87634 354 344 $17K
99173 3,384 3,248 $14K
90633 666 645 $13K
90716 378 363 $7K
90744 320 314 $6K
99460 69 66 $6K
90677 243 240 $5K
90707 260 245 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 56 56 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 103 84 $3K
87807 253 234 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 73 73 $2K
90671 118 114 $2K
99238 Hospital discharge day management, 30 minutes or less 31 28 $2K
90685 103 97 $2K
90656 94 92 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 27 27 $1K
96127 533 517 $1K
36416 212 207 $512.50
90651 16 15 $296.85
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26 25 $220.00
81003 56 53 $167.30
99177 66 66 $141.84
36415 Collection of venous blood by venipuncture 12 12 $24.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 30 30 $0.00
97802 30 30 $0.00