Children's Medical Group, P.A.
Children's Medical Group, P.A. was paid $7.44M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP, P.A.
MOBILE, AL 36608
MOBILE, AL 36608
33aNPI1689639312assigned 04/18/2006
33bProvider typeSpecialist
28Total paid$7.44M
24GClaims111,064
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#1 of 162
Median peer was paid$49K
This provider vs. median151×
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 | 16,221 | $1.02M | |
| 2019 | 16,333 | $1.03M | |
| 2020 | 12,199 | $794K | |
| 2021 | 16,040 | $1.08M | |
| 2022 | 18,167 | $1.22M | |
| 2023 | 16,558 | $1.16M | |
| 2024incomplete | 15,546 | $1.13M |
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 | 22% | 20,771 | 17,994 | $1.62M |
| 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 | 13% | 8,250 | 7,468 | $1.00M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 9,333 | 9,188 | $591K |
| 90670 | 6.5% | 2,429 | 2,413 | $483K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 3,812 | 3,779 | $373K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 3,787 | 3,605 | $351K |
| 90461 | 4.1% | 5,206 | 5,173 | $306K | |
| 90698 | 4.0% | 2,935 | 2,919 | $295K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 2,883 | 2,847 | $281K |
| 90651 | 3.1% | 1,007 | 999 | $233K | |
| 90716 | 3.0% | 1,602 | 1,586 | $225K | |
| 90680 | 2.4% | 2,073 | 2,065 | $179K |
57 more codes
| 99051 | 2.3% | 7,685 | $171K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,407 | $154K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 3,098 | $149K |
| 90707 | 1.7% | 1,604 | $128K | |
| 90677 | 1.6% | 403 | $116K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 1,982 | $95K |
| 99177 | 1.0% | 4,418 | $77K | |
| 90619 | 1.0% | 505 | $76K | |
| 90633 | <1% | 1,765 | $58K | |
| 90734 | <1% | 421 | $50K | |
| 90686 | <1% | 2,409 | $47K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,795 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,274 | $35K |
| 90744 | <1% | 1,319 | $33K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,101 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,734 | $28K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 148 | $27K |
| 90621 | <1% | 164 | $25K | |
| 87634 | <1% | 492 | $22K | |
| 90713 | <1% | 468 | $16K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 76 | $14K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 123 | $14K |
| 90715 | <1% | 408 | $14K | |
| 90700 | <1% | 488 | $12K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 235 | $10K |
| 90381 | <1% | 16 | $8K | |
| 90685 | <1% | 333 | $7K | |
| 90656 | <1% | 219 | $5K | |
| 90688 | <1% | 246 | $4K | |
| 90672 | <1% | 156 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 109 | $3K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 96 | $3K |
| 92558 | <1% | 196 | $2K | |
| 0072A | <1% | 65 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 69 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 81 | $2K |
| 0071A | <1% | 86 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 369 | $2K |
| 0002A | <1% | 44 | $1K | |
| 83655 | <1% | 103 | $1K | |
| 0001A | <1% | 64 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 81003 | <1% | 435 | $970.66 | |
| 86308 | <1% | 183 | $955.89 | |
| 81002 | <1% | 324 | $819.54 | |
| 96380 | <1% | 21 | $457.65 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 21 | $406.79 |
| 90473 | <1% | 12 | $364.37 | |
| 36416 | <1% | 108 | $355.35 | |
| 90660 | <1% | 13 | $330.85 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 38 | $304.88 |
| 81000 | <1% | 59 | $190.57 | |
| 99000 | <1% | 1,156 | $97.35 | |
| 87088 | <1% | 13 | $90.97 | |
| 91307 | <1% | 185 | $0.04 | |
| 99080 | 0% | 492 | $0.00 | |
| 91300 | 0% | 130 | $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 officialSHELL, FRED (BUSINESS MANAGER)