Physician
The Children's Hospital of Alabama
The Children's Hospital of Alabama was paid $4.64M by Medicaid between Jan 2018 and Jun 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoTHE CHILDREN'S HOSPITAL OF ALABAMA
PELL CITY, AL 35125
PELL CITY, AL 35125
33aNPI1649238924assigned 05/03/2006
33bProvider typePediatrics Physician
28Total paid$4.64M
24GClaims110,539
24DCodes billed50
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#36 of 199
Median peer was paid$702K
This provider vs. median6.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WALTON, DAWN controls 19+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 7,321 | $278K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 27,900 | 24,474 | $1.84M |
| 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 | 30% | 13,534 | 12,295 | $1.40M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 2,947 | 2,839 | $194K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 2,772 | 2,678 | $185K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.5% | 12,902 | 11,978 | $164K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 1,979 | 1,876 | $129K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 1,669 | 1,622 | $113K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 2,358 | 2,168 | $94K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.7% | 1,760 | 1,667 | $80K |
| 90686 | 1.3% | 3,188 | 3,109 | $60K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 2,327 | 2,197 | $48K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,998 | 2,889 | $35K |
38 more codes
| 99173 | <1% | 7,197 | $34K | |
| 96127 | <1% | 7,859 | $33K | |
| 92551 | <1% | 7,314 | $32K | |
| 90670 | <1% | 1,632 | $32K | |
| 90698 | <1% | 1,122 | $21K | |
| 90651 | <1% | 797 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 77 | $13K |
| 90680 | <1% | 603 | $12K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 205 | $11K |
| 90633 | <1% | 555 | $11K | |
| 69210 | <1% | 175 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 247 | $8K |
| 90716 | <1% | 384 | $7K | |
| 90685 | <1% | 345 | $7K | |
| 90707 | <1% | 359 | $7K | |
| 90648 | <1% | 328 | $6K | |
| 90734 | <1% | 294 | $5K | |
| 87634 | <1% | 102 | $5K | |
| 81003 | <1% | 1,660 | $5K | |
| 99000 | <1% | 1,515 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $4K |
| 90744 | <1% | 170 | $3K | |
| 90671 | <1% | 165 | $3K | |
| 83655 | <1% | 197 | $3K | |
| 90620 | <1% | 134 | $2K | |
| 90723 | <1% | 108 | $2K | |
| 99461 | <1% | 12 | $2K | |
| 0071A | <1% | 38 | $1K | |
| 90619 | <1% | 78 | $1K | |
| 0072A | <1% | 32 | $1K | |
| 90715 | <1% | 42 | $732.23 | |
| 36416 | <1% | 182 | $390.00 | |
| 87070 | <1% | 31 | $252.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 160 | $250.00 |
| 90681 | <1% | 12 | $237.48 | |
| 99177 | <1% | 13 | $196.43 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22 | $94.15 |
| 99080 | 0% | 12 | $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 officialWALTON, DAWN (CFO)
Parent organizationTHE CHILDREN'S HOSPITAL OF ALABAMA
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.