Physician
East Montgomery Pediatrics LLC
East Montgomery Pediatrics LLC was paid $3.01M by Medicaid between Jan 2020 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoEAST MONTGOMERY PEDIATRICS LLC
MONTGOMERY, AL 36117
MONTGOMERY, AL 36117
33aNPI1952945602assigned 11/05/2019
33bProvider typePediatrics Physician
28Total paid$3.01M
24GClaims73,998
24DCodes billed37
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#53 of 199
Median peer was paid$702K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2020 | 11,801 | $491K | |
| 2021 | 16,833 | $688K | |
| 2022 | 15,226 | $643K | |
| 2023 | 15,889 | $653K | |
| 2024incomplete | 14,249 | $539K |
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 | 49% | 16,763 | 15,205 | $1.49M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 3,677 | 3,486 | $219K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 3,346 | 3,178 | $199K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 3,072 | 2,884 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 2,709 | 2,556 | $170K |
| 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 | 3.6% | 758 | 688 | $110K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 4,049 | 3,903 | $85K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 1,407 | 1,309 | $84K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 3,081 | 2,973 | $78K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 4,236 | 3,882 | $57K |
| 90670 | 1.2% | 2,039 | 1,920 | $37K | |
| 90648 | 1.2% | 1,966 | 1,870 | $37K |
25 more codes
| 90680 | <1% | 1,615 | $30K | |
| 90723 | <1% | 1,570 | $29K | |
| 90686 | <1% | 1,499 | $28K | |
| 99173 | <1% | 5,293 | $22K | |
| 92551 | <1% | 5,259 | $22K | |
| 90633 | <1% | 960 | $18K | |
| 90716 | <1% | 888 | $16K | |
| 90707 | <1% | 889 | $16K | |
| 90700 | <1% | 853 | $15K | |
| 81002 | <1% | 5,311 | $15K | |
| 90677 | <1% | 477 | $9K | |
| 90651 | <1% | 491 | $9K | |
| 90685 | <1% | 436 | $8K | |
| 90647 | <1% | 369 | $7K | |
| 90656 | <1% | 256 | $5K | |
| 90734 | <1% | 131 | $2K | |
| 90744 | <1% | 97 | $2K | |
| 90698 | <1% | 95 | $2K | |
| 90620 | <1% | 95 | $2K | |
| 90713 | <1% | 43 | $831.18 | |
| 90715 | <1% | 45 | $791.60 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $760.87 |
| 86580 | <1% | 104 | $612.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $323.00 |
| 84030 | 0% | 87 | $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 officialROQUE, AINA (OFFICE MANAGER)