Physician
Clanton Pediatrics of Alabama PC
Clanton Pediatrics of Alabama PC was paid $3.34M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoCLANTON PEDIATRICS OF ALABAMA PC
CLANTON, AL 35045
CLANTON, AL 35045
33aNPI1851628697assigned 11/16/2009
33bProvider typePediatrics Physician
28Total paid$3.34M
24GClaims82,098
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#52 of 199
Median peer was paid$702K
This provider vs. median4.8×
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 | 10,527 | $477K | |
| 2019 | 12,448 | $510K | |
| 2020 | 11,484 | $388K | |
| 2021 | 11,718 | $524K | |
| 2022 | 12,309 | $526K | |
| 2023 | 13,072 | $510K | |
| 2024incomplete | 10,540 | $405K |
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 | 42% | 16,484 | 14,024 | $1.41M |
| 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% | 12,229 | 9,805 | $682K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 3,055 | 2,652 | $174K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 3,150 | 2,675 | $172K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 2,847 | 2,483 | $154K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 2,513 | 2,158 | $137K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 812 | 664 | $90K |
| Q3014 | Telehealth originating site facility fee | 2.4% | 4,632 | 3,786 | $79K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 5,927 | 5,112 | $67K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 3,044 | 2,584 | $56K |
| 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 | 1.3% | 350 | 300 | $43K |
| 90670 | 1.1% | 2,210 | 1,948 | $35K |
34 more codes
| 90648 | <1% | 2,005 | $33K | |
| 90723 | <1% | 1,800 | $29K | |
| 92551 | <1% | 5,787 | $24K | |
| 99173 | <1% | 5,677 | $20K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 577 | $20K |
| 90633 | <1% | 1,219 | $20K | |
| 90649 | <1% | 1,068 | $16K | |
| 90681 | <1% | 825 | $13K | |
| 90658 | <1% | 765 | $13K | |
| 90734 | <1% | 665 | $11K | |
| 90620 | <1% | 441 | $8K | |
| 90715 | <1% | 408 | $6K | |
| 90660 | <1% | 297 | $5K | |
| 90657 | <1% | 343 | $5K | |
| 90619 | <1% | 320 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 410 | $4K |
| 90710 | <1% | 253 | $3K | |
| 90696 | <1% | 232 | $3K | |
| 90671 | <1% | 147 | $2K | |
| 90716 | <1% | 96 | $2K | |
| 90700 | <1% | 76 | $1K | |
| 90707 | <1% | 64 | $1K | |
| 90677 | <1% | 64 | $1K | |
| 87430 | <1% | 76 | $761.56 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $475.00 |
| 90656 | <1% | 15 | $296.55 | |
| 36416 | <1% | 68 | $145.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 206 | $105.00 |
| 97803 | 0% | 408 | $0.00 | |
| 90473 | 0% | 58 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 22 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 60 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 150 | $0.00 |
| 97535 | Self-care/home management training, each 15 minutes | 0% | 216 | $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 officialALOLOD, GLADYS ELEANOR (PHYSICIAN/OWNER-PRESIDENT)