Medicaid Provider Spending

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

GADSDEN PEDIATRIC CLINIC, P.A.

NPI: 1801851431 · GADSDEN, AL 35901 · Pediatrics Physician · NPI assigned 04/18/2006

$11.49M
Total Medicaid Paid
362,275
Total Claims
349,698
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDENNIS, MAURICE (PRESIDENT)
NPI Enumeration Date04/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,177 $1.49M
2019 47,584 $1.50M
2020 32,240 $1.04M
2021 59,649 $1.93M
2022 66,857 $2.02M
2023 64,218 $1.95M
2024 44,550 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73,933 69,301 $4.90M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,955 11,396 $1.18M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 21,406 20,971 $905K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,720 8,578 $541K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23,735 23,183 $490K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,022 7,925 $490K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,745 6,659 $430K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27,436 26,674 $354K
87070 23,314 22,700 $236K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13,546 13,314 $201K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,883 2,849 $177K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,506 5,371 $126K
90670 4,911 4,849 $120K
90648 6,117 6,046 $116K
90723 4,182 4,141 $83K
92551 12,444 12,316 $80K
90680 3,604 3,573 $72K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,807 7,434 $71K
90686 3,505 3,469 $67K
90460 Immunization administration through 18 years of age via any route, first or only component 703 684 $59K
90716 2,506 2,442 $55K
99173 12,647 12,494 $54K
80061 Lipid panel 3,847 3,809 $51K
90707 2,460 2,403 $51K
90633 2,521 2,476 $49K
85013 16,251 16,023 $46K
83036 Hemoglobin; glycosylated (A1C) 4,143 4,099 $46K
87807 3,910 3,835 $42K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 187 182 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 918 896 $36K
99177 2,026 2,012 $33K
83655 2,216 2,179 $32K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,918 2,691 $29K
99051 1,314 1,249 $27K
90461 484 482 $26K
90674 1,166 1,163 $22K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 329 326 $18K
90700 910 890 $17K
90651 839 832 $16K
90677 748 743 $15K
90696 753 727 $14K
96127 3,693 2,706 $13K
90671 521 514 $10K
90734 246 239 $8K
90619 394 388 $8K
85018 15,850 15,744 $5K
99238 Hospital discharge day management, 30 minutes or less 66 62 $4K
92552 501 501 $4K
81000 834 815 $3K
90661 156 156 $3K
90715 140 135 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 69 69 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 235 162 $2K
36416 616 607 $1K
99460 15 13 $1K
90381 58 58 $1K
97802 3,911 2,781 $803.21
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 86 86 $765.00
81003 245 239 $684.50
87634 14 14 $556.56
90620 28 28 $554.12
90380 19 18 $356.22
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30 27 $297.95
81001 90 87 $297.67
90688 14 14 $277.06
G0451 Development testing, with interpretation and report, per standardized instrument form 49 44 $161.30
96161 25 25 $73.50
D1206 Topical application of fluoride varnish 36 34 $0.00
99072 731 712 $0.00
D0145 Oral evaluation for a patient under three years of age 36 34 $0.00