Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Birmingham › NPI 1760442164
Physician

Magnolia Pediatrics South INC

Magnolia Pediatrics South INC was paid $2.92M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoMAGNOLIA PEDIATRICS SOUTH INC
BIRMINGHAM, AL 35205
33aNPI1760442164assigned 03/28/2006
28Total paid$2.92M
24GClaims89,046
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Alabama

Rank by total paid#5 of 21
Median peer was paid$270K
This provider vs. median11×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201816,349$520K
201916,485$525K
202011,442$360K
202111,412$378K
202210,697$376K
202311,850$407K
2024incomplete10,811$351K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 9,184 8,279 $593K
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 17% 5,077 4,605 $482K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 5,586 5,148 $352K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 5,321 4,933 $333K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.3% 3,812 3,532 $241K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.0% 3,633 3,403 $233K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.9% 16,509 15,262 $144K
90648 2.3% 3,753 3,509 $68K
90460 Immunization administration through 18 years of age via any route, first or only component 2.2% 1,236 1,112 $63K
90670 1.9% 3,005 2,798 $55K
81002 1.1% 11,895 11,018 $32K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.0% 204 190 $29K
35 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,599 $27K
90680 <1% 1,424 $26K
90686 <1% 1,444 $26K
90723 <1% 1,344 $24K
90700 <1% 1,355 $23K
90651 <1% 1,230 $21K
90633 <1% 1,155 $20K
87430 <1% 1,187 $15K
90713 <1% 772 $13K
90716 <1% 592 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 869 $10K
90707 <1% 572 $10K
90677 <1% 506 $9K
90734 <1% 525 $9K
90461 <1% 214 $9K
90619 <1% 270 $5K
90681 <1% 279 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 280 $5K
0071A <1% 91 $3K
90715 <1% 178 $3K
0072A <1% 81 $3K
90710 <1% 113 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 64 $2K
99173 <1% 399 $2K
90672 <1% 89 $2K
90688 <1% 89 $1K
90696 <1% 60 $1K
99381 <1% 15 $980.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 18 $980.00
90744 <1% 59 $949.92
90685 <1% 29 $514.54
92558 <1% 27 $390.00
90660 <1% 17 $336.43
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $135.00
36416 0% 1,870 $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 officialAMAMOO, PAUL (SECT-TREASURER)