Medicaid Provider Spending

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

THE CHILDREN'S HOSPITAL OF ALABAMA

NPI: 1700963345 · BIRMINGHAM, AL 35223 · Pediatrics Physician · NPI assigned 11/01/2006

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

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

$5.70M
Total Medicaid Paid
103,428
Total Claims
95,218
Beneficiaries
51
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 Date11/01/2006

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 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 14,077 $913K
2019 14,935 $727K
2020 12,596 $671K
2021 18,037 $924K
2022 16,636 $903K
2023 13,849 $772K
2024 13,298 $788K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,578 21,057 $2.27M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,495 27,065 $1.93M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,010 2,905 $223K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,643 2,535 $195K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,248 2,147 $163K
90460 Immunization administration through 18 years of age via any route, first or only component 2,553 2,434 $150K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,494 2,409 $111K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,376 7,032 $87K
90461 1,242 1,220 $84K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,978 1,890 $81K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 982 945 $76K
90686 2,786 2,713 $51K
90670 1,331 1,283 $49K
90698 1,342 1,303 $39K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,358 1,287 $27K
87070 2,852 2,676 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 716 666 $20K
90651 120 118 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,727 1,614 $15K
96127 2,380 2,277 $13K
99000 2,913 2,790 $9K
90734 111 105 $8K
99177 345 340 $7K
90680 256 237 $6K
99173 1,692 1,630 $5K
90677 90 88 $5K
90656 282 270 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 132 132 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 122 120 $3K
90685 141 140 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 192 187 $2K
0071A 41 40 $1K
36416 1,061 944 $1K
90633 70 64 $1K
0001A 40 37 $1K
90744 54 52 $969.71
90672 40 40 $791.60
83655 41 38 $552.35
90660 21 21 $500.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 31 29 $476.18
90715 14 14 $459.76
92551 93 90 $423.30
36415 Collection of venous blood by venipuncture 181 173 $332.00
90696 15 14 $257.27
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 14 $135.00
81003 23 13 $36.00
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) 322 278 $16.00
94760 60 44 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 16 14 $0.00
99080 1,789 1,671 $0.00
99051 13 13 $0.00