Physician
Fort Payne Pediatrics, LLC
Fort Payne Pediatrics, LLC was paid $33.37M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoFORT PAYNE PEDIATRICS, LLC
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
33aNPI1356746085assigned 10/23/2014
33bProvider typePediatrics Physician
28Total paid$33.37M
24GClaims477,002
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#3 of 199
Median peer was paid$702K
This provider vs. median48×
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 | 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 | |
| 2024incomplete | 74,715 | $5.94M |
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 | 88% | 159,784 | 137,576 | $29.46M |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.9% | 3,079 | 3,016 | $634K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 21,868 | 21,061 | $458K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 2,636 | 2,289 | $456K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 24,309 | 23,307 | $314K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 10,540 | 9,845 | $275K |
| 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% | 81,936 | 73,328 | $188K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,742 | 2,585 | $175K |
| 90670 | <1% | 6,597 | 6,500 | $172K | |
| 90700 | <1% | 10,787 | 10,552 | $103K | |
| 90716 | <1% | 3,164 | 3,060 | $94K | |
| 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% | 28,679 | 26,873 | $92K |
48 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,637 | $91K |
| 90713 | <1% | 8,243 | $90K | |
| 90680 | <1% | 5,416 | $85K | |
| 90651 | <1% | 1,656 | $69K | |
| 90648 | <1% | 8,373 | $68K | |
| 90707 | <1% | 3,146 | $61K | |
| 90671 | <1% | 1,753 | $57K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 9,815 | $54K |
| 90461 | <1% | 1,604 | $52K | |
| 90633 | <1% | 3,384 | $39K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 708 | $37K |
| 90744 | <1% | 3,547 | $35K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 10,016 | $34K |
| 87807 | <1% | 2,714 | $28K | |
| 99460 | <1% | 475 | $28K | |
| 90686 | <1% | 2,848 | $26K | |
| 90619 | <1% | 619 | $19K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,330 | $11K |
| 90715 | <1% | 869 | $11K | |
| 90734 | <1% | 389 | $10K | |
| 36416 | <1% | 4,453 | $10K | |
| 90688 | <1% | 954 | $9K | |
| 90685 | <1% | 599 | $6K | |
| 90661 | <1% | 338 | $3K | |
| 99462 | <1% | 85 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,044 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 120 | $1K |
| 90687 | <1% | 172 | $1K | |
| 92551 | <1% | 10,167 | $1K | |
| 90381 | <1% | 56 | $1K | |
| 99173 | <1% | 10,956 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,565 | $958.70 |
| 90621 | <1% | 13 | $237.89 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,150 | $231.30 |
| 96127 | <1% | 6,412 | $160.93 | |
| 81003 | <1% | 57 | $152.20 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $110.14 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 490 | $55.00 |
| 94010 | <1% | 293 | $5.90 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,715 | $2.64 |
| 0071A | 0% | 77 | $0.00 | |
| 0002A | 0% | 13 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 65 | $0.00 |
| 99177 | 0% | 80 | $0.00 | |
| 0001A | 0% | 29 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 291 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 43 | $0.00 |
| 0072A | 0% | 66 | $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 officialSTROGOV, PETER (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Hometown Pediatrics LLC | Athens, AL | $4.26M |
| Insight Eye Care, LLC | Fort Payne, AL | $1.07M |
| Coastal Pediatrics LLC | Summerdale, AL | $20K |
| Trojan Pediatrics, LLC | Troy, AL | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.