Central Pediatrics INC.

Central Pediatrics INC. was paid $4.07M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.

33Billing provider infoCENTRAL PEDIATRICS INC.
ATHENS, AL 35611

33aNPI1467639534assigned 01/30/2008

33bProvider typePreferred Provider Organization

28Total paid$4.07M

24GClaims103,459

24DCodes billed38

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Preferred Provider Organization providers in Alabama

Rank by total paid#2 of 10

Median peer was paid$219K

This provider vs. median19×

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	13,812	$580K
2019	18,361	$700K
2020	13,224	$488K
2021	16,900	$607K
2022	14,461	$595K
2023	13,331	$564K
2024incomplete	13,370	$540K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	89%	40,479	33,030	$3.63M
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.2%	994	861	$88K
87428		1.6%	1,416	1,294	$65K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	4,005	3,724	$52K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	21,955	18,234	$26K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,226	1,179	$26K
90648		<1%	3,136	3,014	$24K
90670		<1%	2,709	2,612	$21K
90723		<1%	2,442	2,354	$18K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	734	337	$15K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	4,105	3,774	$14K
90686		<1%	1,618	1,438	$12K

26 more codes

99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	3,919	$11K
90681		<1%	1,427	$11K
90710		<1%	1,442	$10K
90633		<1%	1,390	$10K
90651		<1%	986	$6K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	3,016	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	1,891	$4K
90734		<1%	547	$3K
90677		<1%	415	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	79	$3K
99460		<1%	75	$2K
99214	Doctor's office visit, returning patient (more involved)	<1%	1,497	$2K
90696		<1%	255	$2K
92551		<1%	395	$2K
90700		<1%	244	$2K
87807		<1%	160	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	67	$1K
90715		<1%	179	$1K
99173		<1%	222	$975.00
36416		<1%	314	$712.50
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	13	$566.93
90381		<1%	30	$240.00
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	13	$108.00
90707		<1%	13	$104.00
90716		<1%	13	$104.00
81003		<1%	38	$59.00

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 officialCROWELL, WESLEY (OWNER/PRESIDENT)