Medicaid Provider Spending

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

DOTHAN PEDIATRIC CLINIC, P. A.

NPI: 1376508788 · DOTHAN, AL 36303 · Clinical Psychologist · NPI assigned 04/19/2006

$56.79M
Total Medicaid Paid
1,441,797
Total Claims
1,379,216
Beneficiaries
103
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOLAR, GINA (INSURANCE & COLLECTION SUPERVISOR)
NPI Enumeration Date04/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 156,520 $5.93M
2019 205,884 $7.87M
2020 164,027 $6.44M
2021 238,235 $9.40M
2022 250,836 $9.96M
2023 236,773 $9.06M
2024 189,522 $8.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 312,760 288,969 $18.61M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 131,679 123,634 $11.97M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 46,044 45,186 $3.17M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 39,984 39,206 $2.84M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 36,104 35,470 $2.38M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24,543 24,042 $1.60M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 51,831 49,674 $1.05M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 23,112 22,312 $949K
99215 Prolong outpt/office vis 7,140 6,674 $912K
99244 Office or other outpatient consultation, moderate to high complexity 5,424 5,197 $869K
90698 33,492 32,916 $837K
87430 64,720 62,459 $806K
90670 25,659 25,124 $791K
90460 Immunization administration through 18 years of age via any route, first or only component 11,685 11,475 $633K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,569 1,524 $578K
87070 52,923 51,167 $541K
92552 82,421 80,508 $510K
90680 20,589 20,220 $505K
90651 7,949 7,807 $483K
D1206 Topical application of fluoride varnish 20,767 20,406 $468K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 45,226 42,785 $405K
90716 11,005 10,737 $381K
99245 1,866 1,788 $371K
99173 88,127 85,533 $368K
95782 745 728 $363K
90461 5,388 5,312 $337K
90688 18,380 18,066 $335K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,239 8,871 $291K
90707 10,910 10,644 $288K
90671 7,354 7,278 $269K
90633 13,138 12,870 $261K
90744 12,478 12,252 $238K
94010 7,557 6,778 $155K
90621 2,734 2,676 $151K
90734 3,237 3,197 $137K
90687 7,675 7,522 $134K
83655 9,184 8,953 $127K
96127 37,019 36,015 $116K
90619 2,257 2,216 $106K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,621 10,419 $100K
80061 Lipid panel 7,740 7,443 $97K
99051 36,847 35,012 $96K
90756 4,237 4,151 $85K
99177 4,545 4,476 $70K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,359 1,316 $69K
99461 769 753 $67K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,366 2,309 $64K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 315 311 $61K
83036 Hemoglobin; glycosylated (A1C) 5,519 5,296 $58K
81003 19,683 18,642 $52K
95811 113 111 $52K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 878 824 $51K
90696 1,709 1,681 $50K
90661 2,359 2,337 $48K
87634 953 913 $44K
D0145 Oral evaluation for a patient under three years of age 1,770 1,717 $41K
90715 1,319 1,311 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,012 2,432 $32K
99188 1,660 1,620 $30K
36415 Collection of venous blood by venipuncture 13,918 12,943 $30K
74018 1,595 1,556 $27K
99243 244 237 $26K
82947 7,319 7,017 $26K
71046 Radiologic examination, chest; 2 views 1,132 1,096 $22K
94664 1,851 1,791 $15K
36416 5,175 5,000 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 102 102 $12K
90381 42 42 $9K
88720 1,748 1,514 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 861 816 $8K
0071A 227 224 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 261 255 $7K
87086 Culture, bacterial; quantitative colony count, urine 810 768 $7K
90632 83 71 $4K
0072A 107 107 $4K
96161 1,365 1,333 $4K
46505 29 29 $4K
87807 327 317 $3K
94060 88 86 $3K
99384 39 38 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 17 $2K
98966 204 190 $2K
81001 476 450 $2K
82465 366 352 $2K
85651 377 351 $1K
0001A 40 39 $1K
69210 34 28 $970.56
0012A 19 19 $760.00
96380 49 49 $754.48
0011A 16 16 $600.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 47 34 $552.73
90380 24 24 $474.96
70360 26 26 $432.00
81025 149 142 $418.89
90472 Immunization administration, each additional vaccine (list separately) 37 37 $380.00
74019 12 12 $256.64
98967 12 12 $209.33
77072 13 13 $184.27
82962 26 25 $75.00
91300 152 140 $0.00
95251 123 109 $0.00
91307 521 481 $0.00
91301 46 43 $0.00