Physician
Kids Town Pediatrics, P.C.
Kids Town Pediatrics, P.C. was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoKIDS TOWN PEDIATRICS, P.C.
DECATUR, AL 35603
DECATUR, AL 35603
33aNPI1831378967assigned 10/25/2007
33bProvider typePediatrics Physician
28Total paid$1.14M
24GClaims25,186
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#88 of 199
Median peer was paid$702K
This provider vs. median1.6×
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 | 4,249 | $188K | |
| 2019 | 4,544 | $195K | |
| 2020 | 3,452 | $163K | |
| 2021 | 5,351 | $199K | |
| 2022 | 2,754 | $133K | |
| 2023 | 2,502 | $148K | |
| 2024incomplete | 2,334 | $112K |
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 | 45% | 5,791 | 4,705 | $514K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 4,551 | 3,792 | $277K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 1,058 | 956 | $58K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 928 | 862 | $54K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.4% | 987 | 857 | $38K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 648 | 592 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 318 | 278 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 450 | 420 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 510 | 429 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 1,788 | 1,122 | $12K |
| 90686 | <1% | 631 | 573 | $11K | |
| 99354 | <1% | 144 | 118 | $9K |
27 more codes
| 92551 | <1% | 1,707 | $7K | |
| 99173 | <1% | 1,659 | $7K | |
| 90651 | <1% | 322 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 532 | $5K |
| 90621 | <1% | 317 | $5K | |
| 90670 | <1% | 273 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 227 | $4K |
| 87430 | <1% | 198 | $2K | |
| 81002 | <1% | 639 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 734 | $979.00 |
| 90688 | <1% | 51 | $951.22 | |
| 90734 | <1% | 36 | $633.28 | |
| 90658 | <1% | 35 | $594.12 | |
| 90648 | <1% | 34 | $554.12 | |
| 90744 | <1% | 28 | $474.96 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 13 | $359.64 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 39 | $319.00 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 17 | $313.82 |
| 90698 | <1% | 15 | $257.27 | |
| 90680 | <1% | 13 | $237.48 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 13 | $74.47 |
| 36415 | Collection of venous blood by venipuncture | <1% | 37 | $72.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 328 | $57.59 |
| 94760 | 0% | 69 | $0.00 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 16 | $0.00 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 13 | $0.00 |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 0% | 17 | $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 officialYOUNG-KING, ME'LISSA (OWNER)