Medicaid Provider Spending

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

NORTH BALDWIN PEDIATRICS LLC

NPI: 1396805461 · BAY MINETTE, AL 36507 · Pediatrics Physician · NPI assigned 12/11/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PALAZZO, ANTHONY controls 20+ related entities in our dataset. Read more

$2.40M
Total Medicaid Paid
44,442
Total Claims
39,828
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPALAZZO, ANTHONY (VICE PRESIDENT OF FINANCE)
NPI Enumeration Date12/11/2006

Related Entities

Other providers sharing the same authorized official: PALAZZO, ANTHONY

ProviderCityStateTotal Paid
CLINICS OF THE SOUTHEAST LLC BOGALUSA LA $3.78M
IMC-PEDIATRIC & ADOLESCENT MEDICINE, LLC MOBILE AL $3.25M
IMC-HOSPITALISTS LLC MOBILE AL $2.64M
ANTHONY J. PALAZZO, M.D.,APMC BOGALUSA LA $1.37M
IMC NORTH BALDWIN PHYSICIAN GROUP LLC BAY MINETTE AL $1.20M
IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL $1.06M
IMC-EMERGENCY PHYSICIANS LLC BAY MINETTE AL $855K
CLINICS OF THE SOUTHEAST LLC BOGALUSA LA $383K
TRANSITIONAL CARE LLC MOBILE AL $299K
IMC-NEONATOLOGY LLC MOBILE AL $166K
IMC-NORTH BALDWIN PRIMARY PLUS, LLC BAY MINETTE AL $148K
IMC -GULF ORTHOPAEDICS LLC MOBILE AL $27K
IMC - WOMENS HEALTH ALLIANCE OF MOBILE LLC MOBILE AL $17K
IMC-CANCER SURGERY OF MOBILE, LLC MOBILE AL $9K
IMC-CARDIO-THORACIC AND VASCULAR SURGICAL ASSOCIATES LLC MOBILE AL $8K
IMC-EASTERN SHORE ADULT MEDICINE, LLC FAIRHOPE AL $4K
IMC-REHABILITATION SPECIALISTS LLC MOBILE AL $3K
IMC-CENTRAL BALDWIN PHYSICIANS LLC ROBERTSDALE AL $3K
IMC EASTERN SHORE WOMEN'S HEALTH LLC FAIRHOPE AL $1K
IMC-EASTERN SHORE FAMILY PRACTICE LLC DAPHNE AL $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,876 $320K
2019 6,895 $347K
2020 4,696 $246K
2021 6,403 $356K
2022 8,399 $376K
2023 7,654 $437K
2024 4,519 $316K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,114 13,989 $1.35M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,291 6,656 $440K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,414 1,363 $133K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,717 1,665 $110K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,332 1,287 $82K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,864 4,629 $60K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,106 1,962 $42K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 251 243 $26K
90648 1,305 1,278 $25K
90670 1,136 1,116 $22K
90460 Immunization administration through 18 years of age via any route, first or only component 376 372 $19K
90686 846 832 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 267 253 $16K
90723 617 608 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 266 257 $11K
90680 444 438 $9K
87807 546 504 $5K
90461 67 67 $3K
90671 175 167 $3K
36416 1,464 1,326 $3K
90710 103 101 $2K
90633 98 98 $2K
99173 372 355 $2K
90656 47 45 $870.76
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $840.00
90685 30 30 $593.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 14 $550.42
90734 14 13 $257.27
90715 13 13 $237.48
90651 13 12 $237.48
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $161.40
86308 30 28 $155.28
92551 12 12 $33.20
36415 Collection of venous blood by venipuncture 12 12 $24.00
85018 27 26 $11.42
S9451 Exercise classes, non-physician provider, per session 15 15 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 17 17 $0.00