Medicaid Provider Spending

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

SOUTH ALABAMA FAMILY CARE, LLC

NPI: 1649028960 · GRAND BAY, AL 36541 · Pediatrics Physician · NPI assigned 05/10/2024

$207K
Total Medicaid Paid
2,425
Total Claims
2,302
Beneficiaries
10
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETERS, BRIDGOT (BILLING DIRECTOR)
NPI Enumeration Date05/10/2024

Related Entities

Other providers sharing the same authorized official: PETERS, BRIDGOT

ProviderCityStateTotal Paid
SOUTH ALABAMA MEDICAL CLINIC, LLC GRAND BAY AL $8.69M
URGENT CARE 59, PC BAY MINETTE AL $276K
LUCEDALE URGENT CARE, PC LUCEDALE MS $74K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 2,425 $207K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 574 544 $113K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 570 545 $51K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 452 432 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 99 96 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 376 358 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85 74 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 82 77 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 81 76 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31 26 $269.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 75 74 $0.00