FORT PAYNE PEDIATRICS, LLC
NPI: 1356746085
· FORT PAYNE, AL 35968
· 208000000X
$33.37M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57,515 |
$3.89M |
| 2019 |
58,749 |
$3.92M |
| 2020 |
49,213 |
$3.38M |
| 2021 |
67,635 |
$4.77M |
| 2022 |
83,473 |
$5.54M |
| 2023 |
85,702 |
$5.93M |
| 2024 |
74,715 |
$5.94M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
159,784 |
137,576 |
$29.46M |
| 87633 |
|
3,079 |
3,016 |
$634K |
| 87804 |
|
21,868 |
21,061 |
$458K |
| 99211 |
|
2,636 |
2,289 |
$456K |
| 87880 |
|
24,309 |
23,307 |
$314K |
| 87811 |
|
10,540 |
9,845 |
$275K |
| 99213 |
|
81,936 |
73,328 |
$188K |
| 90460 |
|
2,742 |
2,585 |
$175K |
| 90670 |
|
6,597 |
6,500 |
$172K |
| 90700 |
|
10,787 |
10,552 |
$103K |
| 90716 |
|
3,164 |
3,060 |
$94K |
| 99214 |
|
28,679 |
26,873 |
$92K |
| 87426 |
|
3,637 |
3,493 |
$91K |
| 90713 |
|
8,243 |
8,052 |
$90K |
| 90680 |
|
5,416 |
5,310 |
$85K |
| 90651 |
|
1,656 |
1,597 |
$69K |
| 90648 |
|
8,373 |
8,209 |
$68K |
| 90707 |
|
3,146 |
3,042 |
$61K |
| 90671 |
|
1,753 |
1,686 |
$57K |
| 99391 |
|
9,815 |
9,587 |
$54K |
| 90461 |
|
1,604 |
1,494 |
$52K |
| 90633 |
|
3,384 |
3,295 |
$39K |
| 99238 |
|
708 |
657 |
$37K |
| 90744 |
|
3,547 |
3,481 |
$35K |
| 99392 |
|
10,016 |
9,626 |
$34K |
| 87807 |
|
2,714 |
2,617 |
$28K |
| 99460 |
|
475 |
450 |
$28K |
| 90686 |
|
2,848 |
2,811 |
$26K |
| 90619 |
|
619 |
604 |
$19K |
| 99393 |
|
6,330 |
6,109 |
$11K |
| 90715 |
|
869 |
837 |
$11K |
| 90734 |
|
389 |
381 |
$10K |
| 36416 |
|
4,453 |
4,364 |
$10K |
| 90688 |
|
954 |
943 |
$9K |
| 90685 |
|
599 |
592 |
$6K |
| 90661 |
|
338 |
301 |
$3K |
| 99462 |
|
85 |
79 |
$3K |
| 96110 |
|
4,044 |
3,942 |
$2K |
| 99215 |
Prolong outpt/office vis |
120 |
118 |
$1K |
| 90687 |
|
172 |
171 |
$1K |
| 92551 |
|
10,167 |
9,828 |
$1K |
| 90381 |
|
56 |
46 |
$1K |
| 99173 |
|
10,956 |
10,595 |
$1K |
| 99394 |
|
2,565 |
2,501 |
$958.70 |
| 90621 |
|
13 |
13 |
$237.89 |
| 99203 |
|
1,150 |
1,081 |
$231.30 |
| 96127 |
|
6,412 |
6,173 |
$160.93 |
| 81003 |
|
57 |
53 |
$152.20 |
| 99212 |
|
36 |
36 |
$110.14 |
| 96372 |
|
490 |
466 |
$55.00 |
| 94010 |
|
293 |
285 |
$5.90 |
| J1100 |
Dexamethasone sodium phos |
1,715 |
1,643 |
$2.64 |
| 0071A |
|
77 |
77 |
$0.00 |
| 0002A |
|
13 |
13 |
$0.00 |
| 99204 |
|
65 |
65 |
$0.00 |
| 99177 |
|
80 |
79 |
$0.00 |
| 0001A |
|
29 |
29 |
$0.00 |
| 94640 |
|
291 |
267 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
43 |
42 |
$0.00 |
| 0072A |
|
66 |
65 |
$0.00 |