Gadsden Pediatric Clinic, P.A.

Gadsden Pediatric Clinic, P.A. was paid $11.49M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoGADSDEN PEDIATRIC CLINIC, P.A.
GADSDEN, AL 35901

33aNPI1801851431assigned 04/18/2006

33bProvider typePediatrics Physician

28Total paid$11.49M

24GClaims362,275

24DCodes billed70

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Alabama

Rank by total paid#15 of 199

Median peer was paid$702K

This provider vs. median16×

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	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
2024incomplete	44,550	$1.56M

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	43%	73,933	69,301	$4.90M
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	10%	11,955	11,396	$1.18M
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	7.9%	21,406	20,971	$905K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.7%	8,720	8,578	$541K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	4.3%	23,735	23,183	$490K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.3%	8,022	7,925	$490K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.7%	6,745	6,659	$430K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.1%	27,436	26,674	$354K
87070		2.1%	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	1.8%	13,546	13,314	$201K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.5%	2,883	2,849	$177K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.1%	5,506	5,371	$126K

58 more codes

90670		1.0%	4,911	$120K
90648		1.0%	6,117	$116K
90723		<1%	4,182	$83K
92551		<1%	12,444	$80K
90680		<1%	3,604	$72K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	7,807	$71K
90686		<1%	3,505	$67K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	703	$59K
90716		<1%	2,506	$55K
99173		<1%	12,647	$54K
80061	Lipid panel	<1%	3,847	$51K
90707		<1%	2,460	$51K
90633		<1%	2,521	$49K
85013		<1%	16,251	$46K
83036	Hemoglobin; glycosylated (A1C)	<1%	4,143	$46K
87807		<1%	3,910	$42K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	<1%	187	$38K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	918	$36K
99177		<1%	2,026	$33K
83655		<1%	2,216	$32K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	2,918	$29K
99051		<1%	1,314	$27K
90461		<1%	484	$26K
90674		<1%	1,166	$22K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	329	$18K
90700		<1%	910	$17K
90651		<1%	839	$16K
90677		<1%	748	$15K
90696		<1%	753	$14K
96127		<1%	3,693	$13K
90671		<1%	521	$10K
90734		<1%	246	$8K
90619		<1%	394	$8K
85018		<1%	15,850	$5K
99238	Hospital discharge day management, 30 minutes or less	<1%	66	$4K
92552		<1%	501	$4K
81000		<1%	834	$3K
90661		<1%	156	$3K
90715		<1%	140	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	69	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	235	$2K
36416		<1%	616	$1K
99460		<1%	15	$1K
90381		<1%	58	$1K
97802		<1%	3,911	$803.21
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	86	$765.00
81003		<1%	245	$684.50
87634		<1%	14	$556.56
90620		<1%	28	$554.12
90380		<1%	19	$356.22
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	30	$297.95
81001		<1%	90	$297.67
90688		<1%	14	$277.06
G0451	Development testing, with interpretation and report, per standardized instrument form	<1%	49	$161.30
96161		<1%	25	$73.50
D1206	Topical application of fluoride varnish	0%	36	$0.00
99072		0%	731	$0.00
D0145	Oral evaluation for a patient under three years of age	0%	36	$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 officialDENNIS, MAURICE (PRESIDENT)