Physician
Fairhope Pediatrics, INC.
Fairhope Pediatrics, INC. was paid $4.05M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoFAIRHOPE PEDIATRICS, INC.
FAIRHOPE, AL 36532
FAIRHOPE, AL 36532
33aNPI1740428663assigned 01/30/2009
33bProvider typePediatrics Physician
28Total paid$4.05M
24GClaims140,281
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#44 of 199
Median peer was paid$702K
This provider vs. median5.8×
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 | 16,451 | $542K | |
| 2019 | 19,588 | $560K | |
| 2020 | 15,919 | $421K | |
| 2021 | 19,787 | $628K | |
| 2022 | 25,175 | $710K | |
| 2023 | 23,616 | $687K | |
| 2024incomplete | 19,745 | $503K |
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 | 31% | 15,924 | 14,279 | $1.25M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 18,315 | 16,638 | $1.01M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 5,397 | 5,157 | $318K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 4,409 | 4,196 | $255K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 3,510 | 3,166 | $197K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 2,571 | 2,462 | $129K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 12,568 | 11,130 | $97K |
| 96127 | 2.3% | 29,375 | 17,024 | $92K | |
| 90686 | 1.7% | 4,061 | 3,829 | $71K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 3,545 | 3,172 | $68K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 2,777 | 2,578 | $64K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 1,001 | 932 | $59K |
46 more codes
| 99401 | 1.4% | 2,263 | $58K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.3% | 288 | $54K |
| 90670 | <1% | 1,916 | $35K | |
| 90688 | <1% | 1,905 | $34K | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 1,002 | $31K |
| 90461 | <1% | 615 | $30K | |
| 99173 | <1% | 9,490 | $28K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,377 | $28K |
| 90698 | <1% | 1,061 | $19K | |
| 92551 | <1% | 3,506 | $17K | |
| 90633 | <1% | 699 | $13K | |
| 90680 | <1% | 685 | $12K | |
| 99177 | <1% | 609 | $10K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 582 | $7K |
| 90707 | <1% | 365 | $7K | |
| 90716 | <1% | 369 | $7K | |
| 90744 | <1% | 284 | $5K | |
| 0002A | <1% | 151 | $5K | |
| 90651 | <1% | 125 | $5K | |
| 90671 | <1% | 274 | $5K | |
| 0001A | <1% | 139 | $4K | |
| 0072A | <1% | 106 | $4K | |
| 90656 | <1% | 197 | $4K | |
| 0071A | <1% | 104 | $4K | |
| 99051 | <1% | 664 | $2K | |
| 83655 | <1% | 140 | $2K | |
| 90685 | <1% | 85 | $2K | |
| 96161 | <1% | 1,706 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 59 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 136 | $994.21 |
| D1206 | Topical application of fluoride varnish | <1% | 57 | $965.70 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $941.60 |
| 96160 | <1% | 1,491 | $899.64 | |
| 0011A | <1% | 22 | $760.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $616.00 |
| 0012A | <1% | 15 | $600.00 | |
| 99050 | <1% | 37 | $382.72 | |
| 90734 | <1% | 13 | $217.69 | |
| 85018 | <1% | 194 | $102.58 | |
| 81002 | <1% | 37 | $96.65 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $93.60 |
| 36416 | <1% | 25 | $53.50 | |
| 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) | <1% | 2,829 | $13.11 |
| 99000 | <1% | 27 | $5.52 | |
| 99072 | 0% | 110 | $0.00 | |
| 99188 | 0% | 15 | $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 officialSKINNER, LESLIE (M.D./PRESIDENT)