Physician
Etowah Pediatrics
Etowah Pediatrics was paid $4.80M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoETOWAH PEDIATRICS
RAINBOW CITY, AL 35906
RAINBOW CITY, AL 35906
33aNPI1972529808assigned 07/14/2006
33bProvider typePediatrics Physician
28Total paid$4.80M
24GClaims147,916
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#33 of 199
Median peer was paid$702K
This provider vs. median6.8×
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 | 15,698 | $568K | |
| 2019 | 19,018 | $670K | |
| 2020 | 17,788 | $616K | |
| 2021 | 21,741 | $748K | |
| 2022 | 29,612 | $810K | |
| 2023 | 23,288 | $724K | |
| 2024incomplete | 20,771 | $665K |
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 | 35% | 20,730 | 18,626 | $1.68M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 19,285 | 17,345 | $1.07M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 6,385 | 5,679 | $352K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 5,748 | 5,215 | $324K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 3,463 | 2,970 | $182K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 16,348 | 14,086 | $116K |
| 92552 | 2.3% | 6,946 | 6,157 | $111K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 5,519 | 5,058 | $106K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 11,693 | 10,640 | $100K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.5% | 2,846 | 2,679 | $73K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 5,415 | 5,107 | $65K |
| 90698 | 1.4% | 3,594 | 3,377 | $65K |
40 more codes
| 90670 | 1.1% | 2,963 | $53K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,275 | $45K |
| 87634 | <1% | 925 | $41K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,069 | $40K |
| 90680 | <1% | 1,813 | $32K | |
| 90716 | <1% | 1,099 | $30K | |
| 99173 | <1% | 11,352 | $28K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 572 | $28K |
| 90461 | <1% | 648 | $25K | |
| 90707 | <1% | 1,109 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 756 | $22K |
| 99461 | <1% | 244 | $20K | |
| 90671 | <1% | 806 | $15K | |
| 90744 | <1% | 859 | $14K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 614 | $13K |
| 90633 | <1% | 787 | $13K | |
| 90713 | <1% | 725 | $13K | |
| 99174 | <1% | 860 | $12K | |
| 90686 | <1% | 651 | $12K | |
| 90700 | <1% | 755 | $12K | |
| 90688 | <1% | 633 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 123 | $8K |
| 96127 | <1% | 2,403 | $7K | |
| 90651 | <1% | 231 | $7K | |
| 99177 | <1% | 523 | $7K | |
| 99460 | <1% | 72 | $6K | |
| 90685 | <1% | 225 | $4K | |
| 87807 | <1% | 228 | $2K | |
| 99000 | <1% | 693 | $2K | |
| 96161 | <1% | 1,235 | $2K | |
| 36416 | <1% | 807 | $2K | |
| 90658 | <1% | 61 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 35 | $1K |
| 90619 | <1% | 100 | $1K | |
| 90672 | <1% | 47 | $811.39 | |
| 90381 | <1% | 14 | $237.48 | |
| 90715 | <1% | 12 | $237.48 | |
| 81002 | <1% | 28 | $71.61 | |
| 96160 | <1% | 576 | $2.94 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 16 | $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 officialHESTER, BENJAMIN (PHYSICIAN)