Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PEDIATRIC CLINIC LLC

Pediatrics·OPELIKA, AL·NPI: 1134286248Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.1M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.1M

$25,075,790

Total Claims

744K

Beneficiaries

704K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+12%
2019
$3.4M
-16%
2020
$2.9M
+47%
2021
$4.2M
-0%
2022
$4.2M
-5%
2023
$4.0M
-13%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 55% of total spending.

99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$13.9M

220K claims · 55.3%

Your Cost: $63.16/claim|Median: $37.81
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.7M

26K claims · 6.8%

Your Cost: $66.10/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

24K claims · 6.3%

Your Cost: $64.45/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$976K

15K claims · 3.9%

Your Cost: $64.51/claim|Median: $74.82
0.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$702K

28K claims · 2.8%

Your Cost: $25.28/claim|Median: $30.04
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$627K

9,425 claims · 2.5%

Your Cost: $66.55/claim|Median: $80.15
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$571K

28K claims · 2.3%

Your Cost: $20.13/claim|Median: $12.59
1.6× median
90700Top 10%

$479K

26K claims · 1.9%

Your Cost: $18.42/claim|Median: $4.56
4.0× median
90670Top 10%

$475K

15K claims · 1.9%

Your Cost: $31.44/claim|Median: $5.94
5.3× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$454K

7,048 claims · 1.8%

Your Cost: $64.45/claim|Median: $17.85
3.6× median
90713Top 10%

Poliovirus vaccine (IPV)

$361K

19K claims · 1.4%

Your Cost: $19.38/claim|Median: $5.41
3.6× median
90648Top 10%

$326K

19K claims · 1.3%

Your Cost: $17.28/claim|Median: $4.08
4.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$215K

12K claims · 0.9%

Your Cost: $18.29/claim|Median: $7.18
2.5× median
90651Top 10%

HPV vaccine, 9-valent

$214K

2,731 claims · 0.9%

Your Cost: $78.26/claim|Median: $8.93
8.8× median
90680Top 5%

$211K

8,780 claims · 0.8%

Your Cost: $24.06/claim|Median: $5.58
4.3× median
92551Normal range

Screening audiometry, pure tone, air only

$184K

34K claims · 0.7%

Your Cost: $5.43/claim|Median: $6.61
0.8× median
99173Normal range

$182K

43K claims · 0.7%

Your Cost: $4.22/claim|Median: $2.16
2.0× median
90716Top 5%

$162K

4,376 claims · 0.6%

Your Cost: $37.09/claim|Median: $6.18
6.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$152K

3,208 claims · 0.6%

Your Cost: $47.26/claim|Median: $39.63
1.2× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$143K

5,664 claims · 0.6%

Your Cost: $25.16/claim|Median: $28.46
0.9× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$136K

3,309 claims · 0.5%

Your Cost: $41.15/claim|Median: $6.93
5.9× median
90707Top 10%

MMR vaccine

$129K

4,779 claims · 0.5%

Your Cost: $27.10/claim|Median: $5.76
4.7× median
90671Top 25%

$125K

3,657 claims · 0.5%

Your Cost: $34.27/claim|Median: $8.59
4.0× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$110K

1,228 claims · 0.4%

Your Cost: $89.41/claim|Median: $53.41
1.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$107K

8,851 claims · 0.4%

Your Cost: $12.13/claim|Median: $11.48
1.1× median
90633Top 10%

$106K

5,558 claims · 0.4%

Your Cost: $19.16/claim|Median: $3.56
5.4× median
99051Normal range

$104K

45K claims · 0.4%

Your Cost: $2.32/claim|Median: $7.89
0.3× median
90744Top 10%

$94K

5,201 claims · 0.4%

Your Cost: $18.12/claim|Median: $5.00
3.6× median
90688Top 25%

$89K

5,039 claims · 0.4%

Your Cost: $17.76/claim|Median: $9.00
2.0× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$75K

1,177 claims · 0.3%

Your Cost: $63.37/claim|Median: $37.22
1.7× median
90734Top 5%

$74K

1,720 claims · 0.3%

Your Cost: $43.07/claim|Median: $6.40
6.7× median
99212Normal range

Office/outpatient visit, low complexity

$64K

1,927 claims · 0.3%

Your Cost: $33.43/claim|Median: $25.06
1.3× median
87081Normal range

Culture screening for pathogenic organisms

$44K

6,294 claims · 0.2%

Your Cost: $7.00/claim|Median: $5.09
1.4× median
90619Top 10%

$35K

576 claims · 0.1%

Your Cost: $61.08/claim|Median: $8.36
7.3× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$34K

410 claims · 0.1%

Your Cost: $82.37/claim|Median: $62.48
1.3× median
90656Top 25%

$21K

1,126 claims · 0.1%

Your Cost: $18.71/claim|Median: $8.67
2.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$16K

448 claims · 0.1%

Your Cost: $35.09/claim|Median: $33.72
1.0× median
36416Normal range

$15K

6,717 claims · 0.1%

Your Cost: $2.22/claim|Median: $1.31
1.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$15K

389 claims · 0.1%

Your Cost: $37.55/claim|Median: $36.70
1.0× median
90715Top 25%

Tdap vaccine

$13K

611 claims · 0.1%

Your Cost: $21.94/claim|Median: $10.32
2.1× median
87634Normal range

$11K

234 claims · 0.0%

Your Cost: $47.51/claim|Median: $48.78
1.0× median
90685Top 10%

$9K

495 claims · 0.0%

Your Cost: $18.38/claim|Median: $5.96
3.1× median
90380Top 10%

$9K

90 claims · 0.0%

Your Cost: $95.33/claim|Median: $10.27
9.3× median
87807Normal range

$8K

750 claims · 0.0%

Your Cost: $10.65/claim|Median: $10.06
1.1× median
83655Top 25%

$8K

533 claims · 0.0%

Your Cost: $14.55/claim|Median: $10.49
1.4× median
0071ANormal range

$7K

219 claims · 0.0%

Your Cost: $31.89/claim|Median: $38.71
0.8× median
0072ANormal range

$6K

162 claims · 0.0%

Your Cost: $37.78/claim|Median: $39.57
1.0× median
90687Top 10%

$6K

328 claims · 0.0%

Your Cost: $17.14/claim|Median: $3.45
5.0× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$5K

53 claims · 0.0%

Your Cost: $97.71/claim|Median: $57.85
1.7× median
90658Top 25%

$5K

279 claims · 0.0%

Your Cost: $18.49/claim|Median: $8.96
2.1× median

Other Top Providers in Alabama

View all →

Alabama Department of Mental Health and Mental Retardation

Community/Behavioral Health

$2.25B

Alabama Department of Senior Services

Home Health

$631.6M

Alabama Department of Mental Health and Mental Retardation

Community/Behavioral Health

$559.5M

State of Alabama Department of Public Health

Clinical Medical Laboratory

$373.6M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$289.1M

Similar Providers

Other top providers in Pediatrics

Legacy Community Health Services, INC

Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

← All providersAll providers in Alabama →How we detect fraud →