Medicaid Provider Spending

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

THE CHILDREN'S HOSPITAL OF ALABAMA

NPI: 1649238924 · PELL CITY, AL 35125 · Pediatrics Physician · NPI assigned 05/03/2006

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

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

$4.64M
Total Medicaid Paid
110,539
Total Claims
102,138
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialWALTON, DAWN (CFO)
Parent OrganizationTHE CHILDREN'S HOSPITAL OF ALABAMA
NPI Enumeration Date05/03/2006

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 $15.82M
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 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 17,150 $1.00M
2019 17,838 $731K
2020 14,759 $526K
2021 19,351 $737K
2022 18,728 $743K
2023 15,392 $626K
2024 7,321 $278K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,900 24,474 $1.84M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,534 12,295 $1.40M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,947 2,839 $194K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,772 2,678 $185K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,902 11,978 $164K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,979 1,876 $129K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,669 1,622 $113K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,358 2,168 $94K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,760 1,667 $80K
90686 3,188 3,109 $60K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,327 2,197 $48K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,998 2,889 $35K
99173 7,197 6,865 $34K
96127 7,859 7,310 $33K
92551 7,314 6,953 $32K
90670 1,632 1,599 $32K
90698 1,122 1,083 $21K
90651 797 761 $15K
99215 Prolong outpt/office vis 77 72 $13K
90680 603 595 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 205 200 $11K
90633 555 539 $11K
69210 175 107 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 247 218 $8K
90716 384 370 $7K
90685 345 345 $7K
90707 359 345 $7K
90648 328 327 $6K
90734 294 278 $5K
87634 102 97 $5K
81003 1,660 1,536 $5K
99000 1,515 1,390 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 26 $4K
90744 170 165 $3K
90671 165 164 $3K
83655 197 188 $3K
90620 134 127 $2K
90723 108 108 $2K
99461 12 12 $2K
0071A 38 37 $1K
90619 78 72 $1K
0072A 32 32 $1K
90715 42 38 $732.23
36416 182 148 $390.00
87070 31 31 $252.00
36415 Collection of venous blood by venipuncture 160 153 $250.00
90681 12 12 $237.48
99177 13 13 $196.43
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 22 18 $94.15
99080 12 12 $0.00