SYLACAUGA PEDIATRIC CLINIC, LLC
NPI: 1912948373
· SYLACAUGA, AL 35150
· 261QR1300X
$7.36M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29,962 |
$968K |
| 2019 |
34,173 |
$1.01M |
| 2020 |
30,037 |
$933K |
| 2021 |
36,399 |
$1.26M |
| 2022 |
36,021 |
$1.19M |
| 2023 |
35,303 |
$1.18M |
| 2024 |
20,879 |
$818K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
98,630 |
79,159 |
$6.97M |
| 99211 |
|
2,719 |
2,173 |
$162K |
| 90670 |
|
3,857 |
3,387 |
$26K |
| 90680 |
|
3,232 |
2,797 |
$22K |
| 99393 |
|
5,819 |
5,358 |
$17K |
| 90686 |
|
2,191 |
2,057 |
$16K |
| 99394 |
|
4,940 |
4,414 |
$15K |
| 90698 |
|
2,212 |
2,001 |
$15K |
| 99392 |
|
6,145 |
5,519 |
$14K |
| 90633 |
|
2,132 |
1,833 |
$14K |
| 90723 |
|
1,384 |
1,236 |
$10K |
| 90651 |
|
1,295 |
1,170 |
$9K |
| 99391 |
|
4,519 |
4,115 |
$9K |
| 90648 |
|
1,100 |
982 |
$8K |
| 90734 |
|
1,002 |
911 |
$7K |
| 90697 |
|
914 |
680 |
$5K |
| 90620 |
|
642 |
546 |
$4K |
| 90716 |
|
604 |
479 |
$4K |
| 90707 |
|
569 |
447 |
$3K |
| 90677 |
|
413 |
394 |
$3K |
| 90688 |
|
406 |
390 |
$3K |
| 99213 |
|
41,640 |
35,708 |
$3K |
| 90710 |
|
354 |
322 |
$2K |
| 99214 |
|
23,816 |
21,520 |
$2K |
| 90696 |
|
320 |
286 |
$2K |
| 92551 |
|
3,897 |
3,578 |
$2K |
| 99173 |
|
3,889 |
3,578 |
$2K |
| 90647 |
|
245 |
232 |
$2K |
| 90715 |
|
264 |
231 |
$2K |
| 90649 |
|
264 |
233 |
$2K |
| 90671 |
|
250 |
230 |
$2K |
| 90619 |
|
197 |
165 |
$1K |
| 99212 |
|
1,296 |
1,163 |
$1K |
| 90687 |
|
212 |
188 |
$1K |
| 99381 |
|
792 |
733 |
$957.72 |
| 90744 |
|
114 |
92 |
$704.00 |
| 90685 |
|
76 |
71 |
$488.00 |
| 90380 |
|
46 |
46 |
$352.00 |
| 99395 |
|
224 |
186 |
$0.00 |
| 90661 |
|
25 |
17 |
$0.00 |
| 90460 |
|
97 |
37 |
$0.00 |
| 87804 |
|
18 |
13 |
$0.00 |
| 90461 |
|
13 |
12 |
$0.00 |