Medicaid Provider Spending

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

THE CHILDREN'S HOSPITAL OF ALABAMA

NPI: 1679593107 · TRUSSVILLE, AL 35173 · Pediatrics Physician · NPI assigned 07/20/2006

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

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

$18.36M
Total Medicaid Paid
404,305
Total Claims
382,551
Beneficiaries
70
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 Date07/20/2006

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 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 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 53,554 $2.77M
2019 60,753 $2.51M
2020 51,321 $2.29M
2021 65,619 $2.95M
2022 62,382 $2.93M
2023 56,066 $2.47M
2024 54,610 $2.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82,771 74,921 $5.59M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44,276 41,068 $4.48M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15,712 15,276 $1.17M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,688 12,410 $929K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,743 11,242 $902K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18,815 18,125 $783K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14,343 13,652 $638K
90670 9,020 8,907 $423K
90460 Immunization administration through 18 years of age via any route, first or only component 7,039 6,872 $420K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,716 3,578 $331K
90698 9,677 9,561 $323K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 19,074 18,329 $232K
90461 3,739 3,674 $226K
87634 4,039 3,850 $181K
90686 8,197 8,008 $154K
90651 846 841 $147K
90716 1,796 1,763 $144K
90680 4,046 4,003 $138K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,195 4,781 $100K
90707 1,790 1,754 $89K
85027 18,524 18,111 $87K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,405 3,221 $87K
99177 4,943 4,864 $83K
99173 19,562 19,058 $64K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,322 2,170 $57K
87070 5,304 5,070 $50K
90633 1,959 1,917 $49K
90734 460 457 $47K
90677 547 534 $46K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,531 2,475 $41K
99051 1,588 1,521 $39K
90744 1,455 1,432 $30K
90671 363 350 $28K
96127 5,653 5,519 $28K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 583 544 $28K
90619 208 206 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 775 755 $23K
H0001 Alcohol and/or drug assessment 363 357 $18K
90685 774 767 $15K
90696 285 284 $13K
83655 1,037 1,008 $13K
90656 653 639 $13K
36416 28,751 27,049 $12K
99000 14,085 13,515 $9K
90715 232 229 $7K
71046 Radiologic examination, chest; 2 views 261 251 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 405 394 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 643 627 $6K
90672 184 182 $4K
D1206 Topical application of fluoride varnish 173 164 $3K
99401 87 86 $3K
99215 Prolong outpt/office vis 14 13 $2K
92551 79 78 $2K
92558 84 83 $1K
81003 329 318 $729.10
0072A 18 18 $664.38
0071A 29 29 $638.58
87807 46 45 $496.80
0001A 28 25 $459.04
90381 17 17 $336.43
D0145 Oral evaluation for a patient under three years of age 18 18 $316.80
90700 15 15 $296.85
90648 15 15 $296.85
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 3,626 3,287 $51.92
36415 Collection of venous blood by venipuncture 12 12 $37.95
99080 1,995 1,892 $0.00
91300 131 109 $0.00
96380 16 16 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 107 107 $0.00
91307 89 83 $0.00