Physician
Skelton Pediatrics
Skelton Pediatrics was paid $216K by Medicaid between Jan 2024 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoSKELTON PEDIATRICS
ALBERTVILLE, AL 35950
ALBERTVILLE, AL 35950
33aNPI1568248912assigned 09/01/2023
33bProvider typePediatrics Physician
28Total paid$216K
24GClaims7,235
24DCodes billed25
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#119 of 199
Median peer was paid$702K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 7,235 | $216K |
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 | 53% | 1,392 | 1,034 | $115K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 525 | 357 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 247 | 196 | $13K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 5.4% | 380 | 315 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 252 | 161 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.5% | 1,212 | 929 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 72 | 60 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 683 | 339 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 121 | 85 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 446 | 375 | $5K |
| 90700 | <1% | 266 | 147 | $2K | |
| 92551 | <1% | 438 | 323 | $2K |
13 more codes
| 99173 | <1% | 438 | $2K | |
| 90713 | <1% | 78 | $1K | |
| 90670 | <1% | 66 | $943.18 | |
| 90648 | <1% | 63 | $915.39 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 17 | $840.00 |
| 87807 | <1% | 70 | $759.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 30 | $738.36 |
| 90651 | <1% | 17 | $336.43 | |
| 92567 | <1% | 31 | $303.40 | |
| 90734 | <1% | 13 | $257.27 | |
| 36416 | <1% | 281 | $42.50 | |
| 81002 | <1% | 13 | $39.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 84 | $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 officialSKELTON, KENNETH (OWNER/ PROVIDER)
| Provider | Location | Paid |
|---|---|---|
| Northeast Alabama Pediatrics, P.C. | Gadsden, AL | $5.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.