Abc Pediatric Clinic, LLC
Abc Pediatric Clinic, LLC was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoABC PEDIATRIC CLINIC, LLC
CULLMAN, AL 35055
CULLMAN, AL 35055
33aNPI1447439237assigned 10/29/2007
33bProvider typeLegal Medicine
28Total paid$2.48M
24GClaims49,910
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in Alabama
Rank by total paid#2 of 8
Median peer was paid$159K
This provider vs. median16×
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 | 7,774 | $282K | |
| 2019 | 11,323 | $399K | |
| 2020 | 7,842 | $387K | |
| 2021 | 6,060 | $342K | |
| 2022 | 5,513 | $287K | |
| 2023 | 6,275 | $351K | |
| 2024incomplete | 5,123 | $431K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 12,385 | 10,869 | $1.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 8,578 | 7,715 | $507K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 10% | 1,440 | 1,211 | $253K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 2,363 | 2,233 | $146K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.6% | 9,152 | 8,236 | $115K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 1,682 | 1,636 | $108K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,535 | 1,380 | $89K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 1,461 | 1,353 | $88K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 3,541 | 2,887 | $59K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 143 | 126 | $15K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 324 | 302 | $14K |
| 87807 | <1% | 783 | 716 | $8K |
25 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 299 | $8K |
| 90670 | <1% | 797 | $6K | |
| 90633 | <1% | 805 | $6K | |
| 90647 | <1% | 483 | $4K | |
| 90723 | <1% | 450 | $3K | |
| 90716 | <1% | 330 | $3K | |
| 90707 | <1% | 319 | $2K | |
| 90680 | <1% | 307 | $2K | |
| 90686 | <1% | 238 | $2K | |
| 36416 | <1% | 747 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $1K |
| 90649 | <1% | 105 | $752.00 | |
| 81002 | <1% | 263 | $729.26 | |
| 86308 | <1% | 115 | $643.38 | |
| 90734 | <1% | 74 | $520.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 237 | $450.00 |
| 90674 | <1% | 57 | $416.00 | |
| 99173 | <1% | 200 | $390.00 | |
| 85018 | <1% | 506 | $322.84 | |
| 90715 | <1% | 27 | $192.00 | |
| 90696 | <1% | 26 | $192.00 | |
| 90677 | <1% | 12 | $88.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 23 | $30.00 |
| 90461 | 0% | 18 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 69 | $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 officialJOINES, LISA (OWNER/PHYSICIAN)