Physician
Decatur Morgan Pediatrics-Riverside
Decatur Morgan Pediatrics-Riverside was paid $193K by Medicaid between Jan 2018 and May 2019, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoDECATUR MORGAN PEDIATRICS-RIVERSIDE
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1508389016assigned 07/18/2017
33bProvider typeFamily Medicine Physician
28Total paid$193K
24GClaims6,373
24DCodes billed25
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#143 of 455
Median peer was paid$57K
This provider vs. median3.4×
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 | 3,649 | $111K | |
| 2019 | 2,724 | $82K |
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 | 57% | 2,484 | 2,061 | $110K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.5% | 650 | 306 | $18K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.2% | 340 | 312 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.3% | 223 | 202 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 147 | 136 | $8K |
| 87430 | 3.3% | 607 | 539 | $6K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 2.8% | 111 | 95 | $5K |
| 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 | 2.1% | 57 | 55 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 214 | 190 | $4K |
| 87070 | 1.8% | 409 | 369 | $3K | |
| 90686 | <1% | 89 | 86 | $1K | |
| 99460 | <1% | 15 | 13 | $1K |
13 more codes
| 90461 | <1% | 16 | $858.00 | |
| 99462 | <1% | 22 | $810.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $760.87 |
| 90670 | <1% | 98 | $760.00 | |
| 81002 | <1% | 277 | $635.58 | |
| 90723 | <1% | 79 | $616.00 | |
| 90680 | <1% | 73 | $568.00 | |
| 85014 | <1% | 314 | $403.46 | |
| 90647 | <1% | 29 | $232.00 | |
| 87807 | <1% | 13 | $100.08 | |
| 36416 | <1% | 44 | $76.00 | |
| 99051 | 0% | 15 | $0.00 | |
| 94760 | 0% | 34 | $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 | Decatur, AL | $3.61M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.