Clinic
Brightstarts Pediatrics PC
Brightstarts Pediatrics PC was paid $3.56M by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoBRIGHTSTARTS PEDIATRICS PC
MADISON, AL 35758
MADISON, AL 35758
33aNPI1427032804assigned 11/30/2005
33bProvider typeClinic/Center
28Total paid$3.56M
24GClaims93,767
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Alabama
Rank by total paid#7 of 57
Median peer was paid$94K
This provider vs. median38×
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 | 14,509 | $561K | |
| 2019 | 14,561 | $569K | |
| 2020 | 10,508 | $363K | |
| 2021 | 12,026 | $466K | |
| 2022 | 14,359 | $533K | |
| 2023 | 15,296 | $581K | |
| 2024incomplete | 12,508 | $491K |
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 | 52% | 30,497 | 27,168 | $1.85M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 3,927 | 3,839 | $267K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 3,597 | 3,514 | $243K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 2,066 | 2,022 | $138K |
| 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 | 3.2% | 1,270 | 1,199 | $115K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 1,357 | 1,339 | $90K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 6,141 | 5,823 | $78K |
| 90698 | 1.8% | 3,320 | 3,274 | $65K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 2,546 | 2,443 | $65K |
| 90686 | 1.8% | 3,338 | 3,293 | $64K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 1,525 | 1,503 | $58K |
| 90670 | 1.6% | 2,820 | 2,776 | $57K |
32 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.5% | 576 | $52K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 4,269 | $51K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,356 | $47K |
| 90680 | 1.2% | 2,255 | $44K | |
| 90744 | 1.0% | 1,904 | $37K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 3,832 | $37K |
| 90633 | <1% | 1,651 | $32K | |
| 92551 | <1% | 4,848 | $28K | |
| 90461 | <1% | 353 | $26K | |
| 99173 | <1% | 5,214 | $23K | |
| 90651 | <1% | 758 | $18K | |
| D1206 | Topical application of fluoride varnish | <1% | 821 | $14K |
| 90677 | <1% | 491 | $10K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 676 | $9K |
| 90672 | <1% | 396 | $7K | |
| 90716 | <1% | 321 | $6K | |
| 90707 | <1% | 289 | $5K | |
| 90656 | <1% | 231 | $5K | |
| 90710 | <1% | 198 | $4K | |
| 90734 | <1% | 198 | $4K | |
| 90619 | <1% | 185 | $4K | |
| 90696 | <1% | 130 | $3K | |
| 90715 | <1% | 114 | $2K | |
| 0071A | <1% | 34 | $1K | |
| 0072A | <1% | 28 | $1K | |
| 90380 | <1% | 41 | $752.02 | |
| 90621 | <1% | 24 | $474.96 | |
| 90685 | <1% | 14 | $305.34 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 36 | $288.00 |
| 81003 | <1% | 41 | $118.60 | |
| 91307 | 0% | 67 | $0.00 | |
| 91300 | 0% | 12 | $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 officialJAIN, JITENDRA (CHAIRMAN & SECRETARY)