Physician
Decatur Morgan Pediatrics
Decatur Morgan Pediatrics was paid $3.61M by Medicaid between Jun 2019 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoDECATUR MORGAN PEDIATRICS
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1477013720assigned 03/22/2019
33bProvider typePediatrics Physician
28Total paid$3.61M
24GClaims111,178
24DCodes billed59
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#49 of 199
Median peer was paid$702K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2019 | 4,826 | $85K | |
| 2020 | 9,038 | $192K | |
| 2021 | 12,528 | $335K | |
| 2022 | 25,103 | $856K | |
| 2023 | 34,533 | $1.18M | |
| 2024incomplete | 25,150 | $961K |
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 | 33% | 19,173 | 15,945 | $1.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 20,114 | 16,987 | $994K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 5,269 | 4,683 | $315K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 4,737 | 4,193 | $277K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 2,134 | 1,876 | $127K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.4% | 2,269 | 2,127 | $86K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 8,215 | 7,585 | $85K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 1,786 | 1,614 | $73K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 5,650 | 4,969 | $61K |
| 90670 | 1.7% | 2,694 | 2,424 | $60K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 5,335 | 2,302 | $47K |
| 90461 | 1.2% | 4,567 | 4,201 | $43K |
47 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,139 | $28K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 972 | $23K |
| 90686 | <1% | 2,570 | $23K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 339 | $22K |
| 99173 | <1% | 5,554 | $20K | |
| 90680 | <1% | 1,605 | $19K | |
| 87634 | <1% | 326 | $14K | |
| 92551 | <1% | 2,920 | $12K | |
| 90723 | <1% | 1,142 | $9K | |
| 90677 | <1% | 755 | $9K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 155 | $7K |
| 90633 | <1% | 849 | $6K | |
| 90648 | <1% | 840 | $6K | |
| 90651 | <1% | 55 | $6K | |
| 87807 | <1% | 649 | $6K | |
| 90697 | <1% | 743 | $5K | |
| 99381 | <1% | 108 | $5K | |
| 96127 | <1% | 1,238 | $5K | |
| 36416 | <1% | 1,770 | $4K | |
| 90647 | <1% | 489 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $3K |
| 99460 | <1% | 76 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 64 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 29 | $2K |
| 90656 | <1% | 287 | $2K | |
| 90734 | <1% | 26 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 330 | $2K |
| 96112 | <1% | 27 | $1K | |
| 96161 | <1% | 450 | $1K | |
| 90674 | <1% | 141 | $991.16 | |
| 90710 | <1% | 139 | $928.00 | |
| 81003 | <1% | 307 | $668.00 | |
| 90698 | <1% | 76 | $536.00 | |
| 90707 | <1% | 85 | $520.00 | |
| 69210 | <1% | 19 | $485.00 | |
| 87081 | <1% | 57 | $424.67 | |
| 90716 | <1% | 67 | $424.00 | |
| 90671 | <1% | 66 | $416.00 | |
| 96113 | <1% | 13 | $374.00 | |
| 90700 | <1% | 45 | $328.00 | |
| 90696 | <1% | 46 | $312.00 | |
| 90685 | <1% | 36 | $299.40 | |
| 85018 | <1% | 285 | $274.52 | |
| 90744 | <1% | 34 | $240.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 27 | $11.80 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 140 | $0.00 |
| 94760 | 0% | 102 | $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 officialHUBLER, NICK (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Decatur Morgan Pediatrics-Riverside | Decatur, AL | $193K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.