Medicaid Provider Spending

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

SMART START PEDIATRICS LLC

NPI: 1982020756 · ALBERTVILLE, AL 35951 · Pediatrics Physician · NPI assigned 03/17/2014

$11.27M
Total Medicaid Paid
208,318
Total Claims
191,718
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDALTON, LASHEA (CREDENTIALING CONTACT/OFFICE MANAGE)
NPI Enumeration Date03/17/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 24,751 $1.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 67,929 58,132 $10.00M
87428 5,632 5,406 $271K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,369 1,184 $183K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,650 6,328 $87K
90670 4,568 4,524 $81K
90700 6,408 6,315 $57K
90460 Immunization administration through 18 years of age via any route, first or only component 850 817 $49K
90680 4,163 4,100 $49K
90713 4,521 4,462 $44K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 444 428 $43K
90716 1,913 1,858 $43K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,870 1,802 $40K
90707 1,893 1,842 $30K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,152 7,019 $27K
90633 2,512 2,464 $26K
90686 3,016 2,967 $25K
90648 3,135 3,106 $25K
90744 2,649 2,601 $23K
90671 1,037 1,006 $19K
90647 2,040 2,003 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,075 6,859 $17K
90651 391 384 $15K
99000 3,038 2,955 $10K
90677 395 368 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 353 344 $9K
36416 3,857 3,740 $9K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 95 83 $8K
90674 783 775 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,186 27,080 $6K
90685 654 650 $6K
90461 122 121 $5K
90696 297 292 $4K
90661 471 419 $4K
90688 446 442 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 114 113 $3K
90734 119 117 $3K
90619 99 99 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 13 13 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,499 1,456 $1K
90621 28 27 $782.26
90715 43 43 $551.41
99173 7,303 6,969 $492.83
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,417 8,670 $349.78
90687 34 34 $272.00
92551 5,343 5,153 $252.31
90381 12 12 $96.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,154 3,050 $80.89
81003 30 25 $72.70
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 116 108 $0.00
0072A 57 57 $0.00
0001A 68 67 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 958 925 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 795 752 $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) 1,024 984 $0.00
0002A 59 58 $0.00
0071A 59 58 $0.00
69210 60 52 $0.00