Medicaid Provider Spending

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

THE CHILDREN'S HOSPITAL OF ALABAMA

NPI: 1962516302 · BIRMINGHAM, AL 35216 · Pediatrics Physician · NPI assigned 08/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WALTON, DAWN controls 19+ related entities in our dataset. Read more

$2.66M
Total Medicaid Paid
66,754
Total Claims
60,612
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, DAWN (CFO)
Parent OrganizationTHE CHILDREN'S HOSPITAL OF ALABAMA
NPI Enumeration Date08/19/2006

Related Entities

Other providers sharing the same authorized official: WALTON, DAWN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $58.84M
THE CHILDREN'S HOSPITAL OF ALABAMA HUEYTOWN AL $22.22M
THE CHILDREN'S HOSPITAL OF ALABAMA TRUSSVILLE AL $18.36M
THE CHILDREN'S HOSPITAL OF ALABAMA HOOVER AL $17.71M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $15.82M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $11.98M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $7.49M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $5.70M
THE CHILDREN'S HOSPITAL OF ALABAMA HUNTSVILLE AL $5.66M
THE CHILDREN'S HOSPITAL OF ALABAMA MONTGOMERY AL $5.34M
THE CHILDREN'S HOSPITAL OF ALABAMA PELL CITY AL $4.64M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.73M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $2.46M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.92M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.90M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.46M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $1.24M
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $122K
THE CHILDREN'S HOSPITAL OF ALABAMA BIRMINGHAM AL $67K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,579 $363K
2019 9,214 $347K
2020 8,033 $264K
2021 10,378 $419K
2022 11,687 $466K
2023 10,825 $417K
2024 8,038 $388K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,134 10,704 $1.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,303 9,013 $662K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,478 3,284 $136K
90460 Immunization administration through 18 years of age via any route, first or only component 1,925 1,897 $121K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,660 2,504 $114K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,213 9,340 $80K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 863 833 $72K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 623 596 $52K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,321 4,034 $47K
90461 517 511 $40K
87070 3,265 3,048 $28K
90686 1,255 1,229 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 262 227 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 246 234 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 730 619 $13K
81003 4,346 3,970 $10K
96127 978 872 $6K
90698 132 124 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 180 179 $6K
99051 245 231 $4K
90670 142 136 $4K
90651 66 28 $3K
90677 13 13 $3K
90656 113 112 $2K
90685 112 110 $2K
90734 13 13 $2K
36416 7,236 6,407 $1K
G0444 Annual depression screening, 5 to 15 minutes 30 30 $821.62
90633 41 40 $732.23
99177 42 42 $619.51
96110 Developmental screening, with scoring and documentation, per standardized instrument 25 25 $316.75
90671 12 12 $217.69
90680 12 12 $197.90
99173 72 54 $170.00
92558 13 13 $142.68
99080 21 17 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 30 25 $0.00
94760 54 43 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 31 31 $0.00