Physician
Anniston Pediatrics, INC
Anniston Pediatrics, INC was paid $5.70M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoANNISTON PEDIATRICS, INC
ANNISTON, AL 36207
ANNISTON, AL 36207
33aNPI1457364994assigned 08/14/2006
33bProvider typePediatrics Physician
28Total paid$5.70M
24GClaims156,711
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#27 of 199
Median peer was paid$702K
This provider vs. median8.1×
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 | 23,049 | $782K | |
| 2019 | 24,188 | $858K | |
| 2020 | 19,896 | $732K | |
| 2021 | 22,807 | $842K | |
| 2022 | 23,657 | $902K | |
| 2023 | 21,904 | $833K | |
| 2024incomplete | 21,210 | $750K |
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 | 34% | 35,135 | 31,804 | $1.93M |
| 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 | 17% | 11,247 | 10,404 | $964K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 6,757 | 6,597 | $427K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 6,426 | 6,280 | $394K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 4,393 | 4,284 | $270K |
| 99460 | 3.6% | 2,589 | 2,350 | $208K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 2,907 | 2,858 | $180K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.9% | 2,714 | 2,465 | $166K |
| 54150 | 1.8% | 774 | 625 | $101K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 3,295 | 3,181 | $85K |
| 90670 | 1.4% | 4,453 | 4,414 | $80K | |
| 99462 | 1.2% | 2,161 | 1,310 | $70K |
50 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 1,396 | $62K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,733 | $54K |
| 90723 | <1% | 2,680 | $51K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,899 | $50K |
| 90647 | <1% | 2,602 | $48K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,452 | $48K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,440 | $48K |
| 99173 | <1% | 9,467 | $41K | |
| 92551 | <1% | 8,575 | $38K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 654 | $35K |
| 81003 | <1% | 11,664 | $33K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,727 | $32K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 245 | $32K |
| 90633 | <1% | 1,415 | $26K | |
| 90681 | <1% | 1,323 | $25K | |
| 99461 | <1% | 258 | $22K | |
| 96127 | <1% | 4,612 | $15K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 609 | $15K |
| 90697 | <1% | 876 | $14K | |
| 90686 | <1% | 753 | $14K | |
| 90671 | <1% | 701 | $12K | |
| 99464 | <1% | 187 | $12K | |
| 90651 | <1% | 621 | $12K | |
| 90837 | Psychotherapy session, about an hour | <1% | 217 | $11K |
| 83655 | <1% | 777 | $11K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 386 | $10K |
| 90734 | <1% | 393 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 138 | $7K |
| 41115 | <1% | 38 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 480 | $3K |
| 90707 | <1% | 175 | $3K | |
| 90696 | <1% | 170 | $3K | |
| 90716 | <1% | 170 | $3K | |
| 90715 | <1% | 170 | $3K | |
| 90619 | <1% | 157 | $3K | |
| 90620 | <1% | 150 | $3K | |
| 90700 | <1% | 151 | $3K | |
| 90710 | <1% | 150 | $3K | |
| 85018 | <1% | 2,063 | $2K | |
| 87807 | <1% | 206 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 73 | $1K |
| 36416 | <1% | 386 | $954.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $697.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $610.54 |
| 90461 | <1% | 12 | $401.84 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 321 | $135.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 44 | $50.54 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 67 | $24.18 |
| 94760 | 0% | 34 | $0.00 | |
| 99446 | 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 officialCLARK, JANICE (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Community Opportunities, INC. | Somerset, KY | $14.08M |
| Catalyst Management Incorporated | Somerset, KY | $856K |
| Janice D Clark, DDS, PA | Youngsville, NC | $550K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.