Medicaid Provider Spending

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

THE CHILDREN'S HOSPITAL OF ALABAMA

NPI: 1629161112 · BIRMINGHAM, AL 35243 · Pediatric Otolaryngology Physician · NPI assigned 10/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WALTON, DAWN controls 19+ related entities in our dataset. Read more

$15.82M
Total Medicaid Paid
86,435
Total Claims
68,318
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, DAWN (CFO)
Parent OrganizationTHE CHILDREN'S HOSPITAL OF ALABAMA
NPI Enumeration Date10/02/2006

Related Entities

Other providers sharing the same authorized official: WALTON, DAWN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $58.84M
THE CHILDREN'S HOSPITAL OF ALABAMA HUEYTOWN AL $22.22M
THE CHILDREN'S HOSPITAL OF ALABAMA TRUSSVILLE AL $18.36M
THE CHILDREN'S HOSPITAL OF ALABAMA HOOVER AL $17.71M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $11.98M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $7.49M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $5.70M
THE CHILDREN'S HOSPITAL OF ALABAMA HUNTSVILLE AL $5.66M
THE CHILDREN'S HOSPITAL OF ALABAMA MONTGOMERY AL $5.34M
THE CHILDREN'S HOSPITAL OF ALABAMA PELL CITY AL $4.64M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.73M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.66M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.46M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.92M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.90M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.46M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.24M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $122K
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $67K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,412 $1.87M
2019 12,587 $2.22M
2020 7,347 $1.28M
2021 11,108 $1.80M
2022 15,080 $2.72M
2023 16,575 $3.24M
2024 13,326 $2.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99244 Office or other outpatient consultation, moderate to high complexity 26,084 24,379 $5.56M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 26,838 12,957 $4.00M
42820 Tonsillectomy and adenoidectomy; younger than age 12 6,670 6,145 $2.62M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,251 14,016 $1.91M
42830 2,254 2,086 $581K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,058 4,783 $435K
99243 1,996 1,881 $316K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 754 730 $151K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 846 789 $119K
31622 250 198 $67K
99245 108 94 $26K
99254 98 63 $10K
99215 Prolong outpt/office vis 55 53 $10K
99232 Subsequent hospital care, per day, moderate complexity 102 77 $8K
99253 18 16 $3K
31526 12 12 $2K
31575 15 13 $2K
99242 14 14 $2K
31231 12 12 $795.45