Physician
Pediatric Associates of Auburn
Pediatric Associates of Auburn was paid $4.24M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF AUBURN
OPELIKA, AL 36801
OPELIKA, AL 36801
33aNPI1316099203assigned 01/18/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$4.24M
24GClaims99,335
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Alabama
Rank by total paid#3 of 21
Median peer was paid$270K
This provider vs. median16×
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 | 11,730 | $467K | |
| 2019 | 13,897 | $555K | |
| 2020 | 10,839 | $447K | |
| 2021 | 16,170 | $649K | |
| 2022 | 18,081 | $758K | |
| 2023 | 15,815 | $763K | |
| 2024incomplete | 12,803 | $600K |
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 | 57% | 37,880 | 32,820 | $2.40M |
| 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 | 6.4% | 3,023 | 2,763 | $272K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 3,495 | 3,404 | $240K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 5.2% | 2,387 | 2,250 | $219K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 2,953 | 2,853 | $205K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.0% | 13,428 | 12,665 | $172K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 1,658 | 1,610 | $92K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 3,844 | 3,633 | $80K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 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 | 1.4% | 3,996 | 3,806 | $60K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 875 | 854 | $59K |
| 90698 | 1.2% | 2,431 | 2,388 | $51K |
34 more codes
| 90670 | 1.1% | 2,102 | $49K | |
| 87428 | <1% | 767 | $36K | |
| 90686 | <1% | 1,903 | $36K | |
| 90461 | <1% | 445 | $26K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,169 | $20K |
| 90680 | <1% | 917 | $20K | |
| 92551 | <1% | 3,464 | $20K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,311 | $18K |
| 87634 | <1% | 354 | $17K | |
| 99173 | <1% | 3,384 | $14K | |
| 90633 | <1% | 666 | $13K | |
| 90716 | <1% | 378 | $7K | |
| 90744 | <1% | 320 | $6K | |
| 99460 | <1% | 69 | $6K | |
| 90677 | <1% | 243 | $5K | |
| 90707 | <1% | 260 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 56 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 103 | $3K |
| 87807 | <1% | 253 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | $2K |
| 90671 | <1% | 118 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 31 | $2K |
| 90685 | <1% | 103 | $2K | |
| 90656 | <1% | 94 | $2K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 27 | $1K |
| 96127 | <1% | 533 | $1K | |
| 36416 | <1% | 212 | $512.50 | |
| 90651 | <1% | 16 | $296.85 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $220.00 |
| 81003 | <1% | 56 | $167.30 | |
| 99177 | <1% | 66 | $141.84 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $24.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 30 | $0.00 |
| 97802 | 0% | 30 | $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 officialCARLTON, DIANNE (OFFICE MANAGER)