Pediatric Specialists of Montgomery, L.L.C.

Pediatric Specialists of Montgomery, L.L.C. was paid $5.32M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 39% of everything it billed.

33Billing provider infoPEDIATRIC SPECIALISTS OF MONTGOMERY, L.L.C.
MONTGOMERY, AL 36117

33aNPI1891766762assigned 01/30/2006

33bProvider typePediatric Cardiology Physician

28Total paid$5.32M

24GClaims81,288

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Cardiology Physician providers in Alabama

Rank by total paid#2 of 5

Median peer was paid$3.88M

This provider vs. median1.4×

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	10,436	$713K
2019	12,056	$828K
2020	11,649	$772K
2021	12,666	$830K
2022	14,277	$747K
2023	11,318	$769K
2024incomplete	8,886	$658K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	39%	17,229	15,535	$2.08M
93325		19%	17,238	15,541	$1.00M
93320		17%	17,239	15,541	$903K
99244	Office or other outpatient consultation, moderate to high complexity	11%	5,619	5,177	$602K
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	8.2%	6,305	6,011	$434K
93000		5.0%	13,259	12,457	$266K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	4,347	3,429	$27K
93225		<1%	27	26	$874.00
93226		<1%	12	12	$792.00
93227		<1%	13	13	$288.00

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 officialDAFFIN, MEREDITH (ADMINISTRATOR)

Same official

Other billing entities under DAFFIN, MEREDITH

Full network →

Provider	Location	Paid
Mark D. Herron, M.D. L.L.C.	Montgomery, AL	$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.