Physician
Pediatric Rural Health Clinics, INC
Pediatric Rural Health Clinics, INC was paid $8.01M 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) — 84% of everything it billed.
33Billing provider infoPEDIATRIC RURAL HEALTH CLINICS, INC
GREENVILLE, AL 36037
GREENVILLE, AL 36037
33aNPI1992742860assigned 06/01/2006
33bProvider typePediatrics Physician
28Total paid$8.01M
24GClaims224,836
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#21 of 199
Median peer was paid$702K
This provider vs. median11×
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 | 22,044 | $873K | |
| 2019 | 29,048 | $1.05M | |
| 2020 | 22,548 | $799K | |
| 2021 | 35,495 | $1.21M | |
| 2022 | 38,318 | $1.35M | |
| 2023 | 43,725 | $1.46M | |
| 2024incomplete | 33,658 | $1.26M |
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 | 84% | 82,488 | 65,172 | $6.72M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 13,544 | 12,337 | $270K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 15,940 | 14,456 | $199K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.9% | 6,114 | 5,417 | $153K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 4,702 | 4,114 | $117K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 2,747 | 2,233 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 52,656 | 43,258 | $52K |
| 87807 | <1% | 4,487 | 4,085 | $45K | |
| 90670 | <1% | 2,449 | 2,358 | $40K | |
| 90651 | <1% | 1,291 | 1,227 | $40K | |
| 90710 | <1% | 1,519 | 1,422 | $39K | |
| 90671 | <1% | 1,061 | 950 | $27K |
45 more codes
| 90723 | <1% | 2,197 | $26K | |
| 90680 | <1% | 2,029 | $25K | |
| 90648 | <1% | 2,590 | $20K | |
| 90633 | <1% | 1,420 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 317 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,491 | $12K |
| 90734 | <1% | 581 | $12K | |
| 90686 | <1% | 1,199 | $11K | |
| 87428 | <1% | 224 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,690 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,024 | $7K |
| 83655 | <1% | 436 | $6K | |
| 90698 | <1% | 363 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,712 | $4K |
| 90696 | <1% | 319 | $4K | |
| 90700 | <1% | 403 | $4K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 213 | $3K |
| 81002 | <1% | 1,158 | $3K | |
| 90715 | <1% | 257 | $3K | |
| 90461 | <1% | 75 | $3K | |
| 90744 | <1% | 282 | $2K | |
| 90647 | <1% | 270 | $2K | |
| 90619 | <1% | 243 | $2K | |
| 90621 | <1% | 94 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 936 | $2K |
| 90620 | <1% | 17 | $751.25 | |
| 92551 | <1% | 147 | $690.00 | |
| 90707 | <1% | 57 | $440.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,456 | $380.95 |
| 90716 | <1% | 43 | $336.00 | |
| 81003 | <1% | 80 | $206.30 | |
| 90685 | <1% | 18 | $175.24 | |
| 99173 | <1% | 34 | $155.00 | |
| 90681 | <1% | 18 | $144.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $108.10 |
| 90381 | <1% | 17 | $64.00 | |
| 0071A | <1% | 86 | $40.00 | |
| 36416 | <1% | 13 | $32.50 | |
| 99401 | <1% | 58 | $31.70 | |
| 0001A | <1% | 81 | $30.00 | |
| 0072A | 0% | 62 | $0.00 | |
| 90724 | 0% | 20 | $0.00 | |
| 91300 | 0% | 24 | $0.00 | |
| 0002A | 0% | 52 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 18 | $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 officialKEEN, ANNE (VP OF OPERATIONS)