Physician
Acton Road Pediatrics, LLC
Acton Road Pediatrics, LLC was paid $820K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoACTON ROAD PEDIATRICS, LLC
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
33aNPI1679692123assigned 03/28/2007
33bProvider typePediatrics Physician
28Total paid$820K
24GClaims15,996
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#97 of 199
Median peer was paid$702K
This provider vs. median1.2×
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.
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 | 1,853 | $93K | |
| 2019 | 2,536 | $128K | |
| 2020 | 1,665 | $74K | |
| 2021 | 2,399 | $117K | |
| 2022 | 2,744 | $138K | |
| 2023 | 3,166 | $171K | |
| 2024incomplete | 1,633 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 3,723 | 3,294 | $365K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 3,867 | 3,305 | $239K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.9% | 838 | 816 | $48K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.5% | 437 | 423 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 202 | 202 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 221 | 209 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 1,197 | 708 | $15K |
| 90686 | 1.7% | 732 | 730 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 152 | 149 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 381 | 358 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 713 | 683 | $8K |
| 87430 | <1% | 652 | 622 | $8K |
22 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 887 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 67 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 134 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 223 | $6K |
| 90461 | <1% | 93 | $5K | |
| 87070 | <1% | 532 | $5K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 255 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 72 | $901.60 |
| 90670 | <1% | 39 | $677.49 | |
| 81003 | <1% | 283 | $662.39 | |
| 87634 | <1% | 12 | $556.56 | |
| 99177 | <1% | 27 | $392.86 | |
| 90680 | <1% | 24 | $380.64 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $250.00 |
| 90698 | <1% | 12 | $237.48 | |
| 90685 | <1% | 12 | $237.48 | |
| 0071A | <1% | 13 | $222.78 | |
| 87807 | <1% | 16 | $176.00 | |
| 36416 | <1% | 63 | $154.25 | |
| 99173 | <1% | 32 | $65.00 | |
| 91307 | 0% | 13 | $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 officialBREEDLOVE, SHERIDYN (PHYSICIAN AND PARTNER)