Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EAST MONTGOMERY PEDIATRICS LLC

NPI: 1952945602 · MONTGOMERY, AL 36117 · Pediatrics Physician · NPI assigned 11/05/2019

$3.01M
Total Medicaid Paid
73,998
Total Claims
69,018
Beneficiaries
37
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROQUE, AINA (OFFICE MANAGER)
NPI Enumeration Date11/05/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 11,801 $491K
2021 16,833 $688K
2022 15,226 $643K
2023 15,889 $653K
2024 14,249 $539K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,763 15,205 $1.49M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,677 3,486 $219K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,346 3,178 $199K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,072 2,884 $188K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,709 2,556 $170K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 758 688 $110K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,049 3,903 $85K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,407 1,309 $84K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,081 2,973 $78K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,236 3,882 $57K
90670 2,039 1,920 $37K
90648 1,966 1,870 $37K
90680 1,615 1,529 $30K
90723 1,570 1,483 $29K
90686 1,499 1,425 $28K
99173 5,293 4,943 $22K
92551 5,259 4,910 $22K
90633 960 906 $18K
90716 888 817 $16K
90707 889 815 $16K
90700 853 786 $15K
81002 5,311 4,934 $15K
90677 477 464 $9K
90651 491 448 $9K
90685 436 426 $8K
90647 369 342 $7K
90656 256 254 $5K
90734 131 118 $2K
90744 97 94 $2K
90698 95 92 $2K
90620 95 91 $2K
90713 43 42 $831.18
90715 45 41 $791.60
99238 Hospital discharge day management, 30 minutes or less 15 12 $760.87
86580 104 101 $612.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 17 $323.00
84030 87 74 $0.00