Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARING FOR KIDS

NPI: 1528171378 · PHENIX CITY, AL 36867 · Pediatrics Physician · NPI assigned 08/16/2006

$2.97M
Total Medicaid Paid
132,122
Total Claims
86,285
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIVOTT, TONYA (OFFICE MANAGER)
NPI Enumeration Date08/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 14,381 $334K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,058 15,223 $1.13M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,465 4,385 $437K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,060 3,453 $218K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,971 3,369 $208K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,323 3,008 $197K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,734 2,471 $153K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,753 2,889 $72K
92552 5,841 3,707 $64K
90670 4,276 2,939 $54K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,091 4,408 $41K
90680 2,735 1,893 $35K
99173 10,611 7,028 $31K
90647 1,928 1,541 $29K
90633 2,073 1,439 $26K
90710 1,893 1,264 $23K
90651 1,599 1,095 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,442 1,582 $20K
90723 1,110 927 $18K
96161 10,425 6,393 $17K
90734 1,332 887 $17K
90700 1,228 891 $16K
96160 7,650 4,830 $13K
90697 1,248 696 $12K
90620 544 350 $10K
96127 3,918 2,652 $9K
90713 652 468 $8K
87800 314 230 $8K
90715 629 443 $8K
92551 2,083 1,669 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 494 265 $7K
90696 626 400 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 507 379 $7K
99238 Hospital discharge day management, 30 minutes or less 115 97 $7K
90686 432 331 $6K
99215 Prolong outpt/office vis 32 30 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 430 297 $3K
90648 342 177 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 74 43 $3K
99381 65 40 $2K
81002 972 604 $2K
90716 126 86 $2K
90658 85 77 $2K
36416 825 615 $1K
90707 98 72 $1K
90744 75 64 $1K
90660 81 65 $1K
90649 90 66 $1K
90674 71 53 $1K
99460 14 12 $1K
86308 209 133 $683.62
85018 260 163 $217.26
94664 25 13 $120.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 13 $53.80
90460 Immunization administration through 18 years of age via any route, first or only component 63 60 $0.00