Physician
Montgomery Pediatric Assoc, P.A.
Montgomery Pediatric Assoc, P.A. was paid $8.31M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoMONTGOMERY PEDIATRIC ASSOC, P.A.
MONTGOMERY, AL 36117
MONTGOMERY, AL 36117
33aNPI1770532681assigned 05/08/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$8.31M
24GClaims251,546
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Alabama
Rank by total paid#1 of 21
Median peer was paid$270K
This provider vs. median31×
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 | 31,378 | $976K | |
| 2019 | 37,131 | $1.16M | |
| 2020 | 30,306 | $985K | |
| 2021 | 33,736 | $1.21M | |
| 2022 | 37,769 | $1.28M | |
| 2023 | 43,348 | $1.45M | |
| 2024incomplete | 37,878 | $1.24M |
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 | 34% | 64,987 | 56,399 | $2.84M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 22% | 19,572 | 14,327 | $1.87M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 14,059 | 13,337 | $662K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 13,942 | 13,084 | $654K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 7,435 | 7,114 | $368K |
| 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 | 3.6% | 4,559 | 4,028 | $301K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 11,541 | 10,626 | $206K |
| 90670 | 1.9% | 8,961 | 8,502 | $157K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 11,990 | 10,873 | $135K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 5,575 | 5,240 | $130K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 14,663 | 14,094 | $128K |
| 90723 | 1.5% | 7,820 | 7,348 | $125K |
45 more codes
| 90647 | 1.4% | 7,434 | $118K | |
| 90680 | 1.3% | 6,809 | $108K | |
| 90686 | <1% | 3,519 | $61K | |
| 83655 | <1% | 3,031 | $40K | |
| 87807 | <1% | 4,171 | $38K | |
| 36416 | <1% | 17,594 | $37K | |
| 90633 | <1% | 2,305 | $36K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,821 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 686 | $35K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 294 | $33K |
| 81002 | <1% | 10,257 | $27K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 727 | $25K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 586 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 397 | $20K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 70 | $14K |
| 90677 | <1% | 870 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 464 | $10K |
| 90671 | <1% | 730 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,106 | $9K |
| 90461 | <1% | 206 | $7K | |
| 92081 | <1% | 527 | $6K | |
| 90716 | <1% | 254 | $4K | |
| 90707 | <1% | 210 | $3K | |
| 87070 | <1% | 317 | $3K | |
| 90656 | <1% | 183 | $3K | |
| 90700 | <1% | 205 | $3K | |
| 90657 | <1% | 144 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 45 | $2K |
| 90658 | <1% | 94 | $2K | |
| 0071A | <1% | 44 | $2K | |
| 90696 | <1% | 127 | $1K | |
| 99000 | <1% | 435 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 117 | $1K |
| 90688 | <1% | 73 | $1K | |
| 90672 | <1% | 59 | $1K | |
| 92552 | <1% | 62 | $1K | |
| 0072A | <1% | 37 | $1K | |
| 90710 | <1% | 103 | $978.54 | |
| 90651 | <1% | 15 | $296.85 | |
| 90734 | <1% | 12 | $237.48 | |
| 96127 | <1% | 54 | $156.34 | |
| 85018 | <1% | 174 | $69.88 | |
| 0001A | <1% | 31 | $0.03 | |
| 91307 | 0% | 12 | $0.00 | |
| 91300 | 0% | 31 | $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 officialBERRY, VIKKI (OFFICE MANAGER)