Physician
Smart Start Pediatrics LLC
Smart Start Pediatrics LLC was paid $11.27M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoSMART START PEDIATRICS LLC
ALBERTVILLE, AL 35951
ALBERTVILLE, AL 35951
33aNPI1982020756assigned 03/17/2014
33bProvider typePediatrics Physician
28Total paid$11.27M
24GClaims208,318
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#16 of 199
Median peer was paid$702K
This provider vs. median16×
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 | 24,258 | $1.28M | |
| 2019 | 29,289 | $1.55M | |
| 2020 | 22,138 | $1.18M | |
| 2021 | 33,470 | $1.72M | |
| 2022 | 35,420 | $1.96M | |
| 2023 | 38,992 | $2.08M | |
| 2024incomplete | 24,751 | $1.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 89% | 67,929 | 58,132 | $10.00M |
| 87428 | 2.4% | 5,632 | 5,406 | $271K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 1,369 | 1,184 | $183K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,650 | 6,328 | $87K |
| 90670 | <1% | 4,568 | 4,524 | $81K | |
| 90700 | <1% | 6,408 | 6,315 | $57K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 850 | 817 | $49K |
| 90680 | <1% | 4,163 | 4,100 | $49K | |
| 90713 | <1% | 4,521 | 4,462 | $44K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 444 | 428 | $43K |
| 90716 | <1% | 1,913 | 1,858 | $43K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,870 | 1,802 | $40K |
45 more codes
| 90707 | <1% | 1,893 | $30K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,152 | $27K |
| 90633 | <1% | 2,512 | $26K | |
| 90686 | <1% | 3,016 | $25K | |
| 90648 | <1% | 3,135 | $25K | |
| 90744 | <1% | 2,649 | $23K | |
| 90671 | <1% | 1,037 | $19K | |
| 90647 | <1% | 2,040 | $19K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,075 | $17K |
| 90651 | <1% | 391 | $15K | |
| 99000 | <1% | 3,038 | $10K | |
| 90677 | <1% | 395 | $10K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 353 | $9K |
| 36416 | <1% | 3,857 | $9K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 95 | $8K |
| 90674 | <1% | 783 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 30,186 | $6K |
| 90685 | <1% | 654 | $6K | |
| 90461 | <1% | 122 | $5K | |
| 90696 | <1% | 297 | $4K | |
| 90661 | <1% | 471 | $4K | |
| 90688 | <1% | 446 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 114 | $3K |
| 90734 | <1% | 119 | $3K | |
| 90619 | <1% | 99 | $3K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 13 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,499 | $1K |
| 90621 | <1% | 28 | $782.26 | |
| 90715 | <1% | 43 | $551.41 | |
| 99173 | <1% | 7,303 | $492.83 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 9,417 | $349.78 |
| 90687 | <1% | 34 | $272.00 | |
| 92551 | <1% | 5,343 | $252.31 | |
| 90381 | <1% | 12 | $96.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,154 | $80.89 |
| 81003 | <1% | 30 | $72.70 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 116 | $0.00 |
| 0072A | 0% | 57 | $0.00 | |
| 0001A | 0% | 68 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 958 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 795 | $0.00 |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | 0% | 1,024 | $0.00 |
| 0002A | 0% | 59 | $0.00 | |
| 0071A | 0% | 59 | $0.00 | |
| 69210 | 0% | 60 | $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 officialDALTON, LASHEA (CREDENTIALING CONTACT/OFFICE MANAGE)