South Alabama Pediatrics

South Alabama Pediatrics was paid $6.71M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoSOUTH ALABAMA PEDIATRICS
OPP, AL 36467

33aNPI1366567190assigned 03/20/2007

33bProvider typePediatrics Physician

28Total paid$6.71M

24GClaims163,086

24DCodes billed72

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Alabama

Rank by total paid#25 of 199

Median peer was paid$702K

This provider vs. median9.6×

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	19,211	$766K
2019	21,925	$828K
2020	19,837	$824K
2021	27,325	$1.13M
2022	29,496	$1.23M
2023	27,934	$1.19M
2024incomplete	17,358	$740K

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	35%	35,500	30,916	$2.33M
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	19%	13,463	11,981	$1.29M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.5%	5,526	5,348	$369K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.3%	5,685	5,477	$358K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.1%	5,075	4,649	$340K
87428		3.3%	4,574	4,311	$223K
99401		3.3%	7,778	6,862	$222K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.9%	14,927	13,894	$195K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.7%	2,966	2,845	$182K
G0315	Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)	2.1%	4,825	4,427	$141K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.4%	686	611	$96K
99238	Hospital discharge day management, 30 minutes or less	1.3%	1,494	1,294	$87K

60 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	3,907	$80K
99460		1.1%	1,017	$76K
90670		<1%	3,196	$62K
90648		<1%	2,671	$52K
90680		<1%	2,438	$47K
90723		<1%	2,411	$47K
92551		<1%	10,721	$46K
99462		<1%	1,123	$38K
99173		<1%	7,955	$35K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	1,189	$34K
90633		<1%	1,642	$32K
90686		<1%	1,655	$32K
87807		<1%	2,571	$27K
Q3014	Telehealth originating site facility fee	<1%	1,262	$22K
90651		<1%	1,101	$21K
90710		<1%	978	$19K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,677	$16K
94664		<1%	1,793	$16K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	287	$15K
99239	Hospital discharge day management, more than 30 minutes	<1%	177	$15K
90734		<1%	733	$14K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	1,413	$14K
D0145	Oral evaluation for a patient under three years of age	<1%	740	$13K
99203	Doctor's office visit, new patient (routine)	<1%	107	$10K
90698		<1%	467	$9K
90620		<1%	410	$8K
54150		<1%	53	$7K
90696		<1%	392	$7K
90677		<1%	352	$7K
90716		<1%	287	$6K
92567		<1%	397	$5K
90707		<1%	215	$4K
36416		<1%	1,640	$4K
90700		<1%	191	$4K
99222	Initial hospital care, per day, moderate complexity	<1%	37	$4K
90715		<1%	188	$4K
90647		<1%	184	$3K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	408	$3K
17110		<1%	55	$3K
99232	Hospital visit by a doctor, follow-up day	<1%	40	$2K
99223	Prolong inpt eval add15 m	<1%	15	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	43	$2K
90744		<1%	80	$2K
90748		<1%	78	$1K
99177		<1%	136	$1K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	617	$787.50
90461		<1%	16	$652.68
90685		<1%	32	$633.28
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	34	$627.00
96127		<1%	126	$559.17
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	532	$486.36
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	20	$452.48
90381		<1%	23	$435.38
90380		<1%	13	$217.69
81002		<1%	30	$87.00
81003		<1%	13	$38.30
36415	Collection of venous blood by venipuncture	<1%	14	$28.00
85018		<1%	340	$24.00
84030		0%	330	$0.00
96111		0%	15	$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 officialADAMS, TAMMY (OFFICE MANAGER)