Physician
Caring for Kids
Caring for Kids was paid $2.97M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCARING FOR KIDS
PHENIX CITY, AL 36867
PHENIX CITY, AL 36867
33aNPI1528171378assigned 08/16/2006
33bProvider typePediatrics Physician
28Total paid$2.97M
24GClaims132,122
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#55 of 199
Median peer was paid$702K
This provider vs. median4.2×
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 | 12,854 | $438K | |
| 2019 | 15,004 | $525K | |
| 2020 | 17,675 | $414K | |
| 2021 | 21,473 | $451K | |
| 2022 | 24,522 | $406K | |
| 2023 | 26,213 | $399K | |
| 2024incomplete | 14,381 | $334K |
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 | 38% | 25,058 | 15,223 | $1.13M |
| 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 | 15% | 6,465 | 4,385 | $437K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 5,060 | 3,453 | $218K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 4,971 | 3,369 | $208K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 4,323 | 3,008 | $197K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 3,734 | 2,471 | $153K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 4,753 | 2,889 | $72K |
| 92552 | 2.1% | 5,841 | 3,707 | $64K | |
| 90670 | 1.8% | 4,276 | 2,939 | $54K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 7,091 | 4,408 | $41K |
| 90680 | 1.2% | 2,735 | 1,893 | $35K | |
| 99173 | 1.0% | 10,611 | 7,028 | $31K |
42 more codes
| 90647 | <1% | 1,928 | $29K | |
| 90633 | <1% | 2,073 | $26K | |
| 90710 | <1% | 1,893 | $23K | |
| 90651 | <1% | 1,599 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,442 | $20K |
| 90723 | <1% | 1,110 | $18K | |
| 96161 | <1% | 10,425 | $17K | |
| 90734 | <1% | 1,332 | $17K | |
| 90700 | <1% | 1,228 | $16K | |
| 96160 | <1% | 7,650 | $13K | |
| 90697 | <1% | 1,248 | $12K | |
| 90620 | <1% | 544 | $10K | |
| 96127 | <1% | 3,918 | $9K | |
| 90713 | <1% | 652 | $8K | |
| 87800 | <1% | 314 | $8K | |
| 90715 | <1% | 629 | $8K | |
| 92551 | <1% | 2,083 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 494 | $7K |
| 90696 | <1% | 626 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 507 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 115 | $7K |
| 90686 | <1% | 432 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 32 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 430 | $3K |
| 90648 | <1% | 342 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 74 | $3K |
| 99381 | <1% | 65 | $2K | |
| 81002 | <1% | 972 | $2K | |
| 90716 | <1% | 126 | $2K | |
| 90658 | <1% | 85 | $2K | |
| 36416 | <1% | 825 | $1K | |
| 90707 | <1% | 98 | $1K | |
| 90744 | <1% | 75 | $1K | |
| 90660 | <1% | 81 | $1K | |
| 90649 | <1% | 90 | $1K | |
| 90674 | <1% | 71 | $1K | |
| 99460 | <1% | 14 | $1K | |
| 86308 | <1% | 209 | $683.62 | |
| 85018 | <1% | 260 | $217.26 | |
| 94664 | <1% | 25 | $120.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $53.80 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 63 | $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 officialPRIVOTT, TONYA (OFFICE MANAGER)