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

⚖️ Compare🖨️ Print Report

FORT PAYNE PEDIATRICS, LLC

Clinic/Center, Rural Health·FORT PAYNE, AL·NPI: 1356746085Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$33.4M

$33,370,819

Total Claims

477K

Beneficiaries

437K

1.1 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+1%
2019
$3.9M
-14%
2020
$3.4M
+41%
2021
$4.8M
+16%
2022
$5.5M
+7%
2023
$5.9M
+0%
2024
$5.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 88% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$29.5M

160K claims · 88.3%

Your Cost: $184.40/claim|Median: $121.16
1.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$634K

3,079 claims · 1.9%

Your Cost: $206.03/claim|Median: $169.17
1.2× median
87804Top 25%

Influenza virus detection, rapid test

$458K

22K claims · 1.4%

Your Cost: $20.93/claim|Median: $12.59
1.7× median
99211Top 1%

Office/outpatient visit, minimal complexity

$456K

2,636 claims · 1.4%

Your Cost: $172.84/claim|Median: $12.93
13.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$314K

24K claims · 0.9%

Your Cost: $12.91/claim|Median: $11.48
1.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$275K

11K claims · 0.8%

Your Cost: $26.10/claim|Median: $30.53
0.9× median
99213Normal range

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

$188K

82K claims · 0.6%

Your Cost: $2.29/claim|Median: $37.81
0.1× median
90460Top 1%

Immunization administration, first vaccine/toxoid, with counseling

$175K

2,742 claims · 0.5%

Your Cost: $63.88/claim|Median: $17.85
3.6× median
90670Top 10%

$172K

6,597 claims · 0.5%

Your Cost: $26.04/claim|Median: $5.94
4.4× median
90700Normal range

$103K

11K claims · 0.3%

Your Cost: $9.59/claim|Median: $4.56
2.1× median
90716Top 10%

$94K

3,164 claims · 0.3%

Your Cost: $29.69/claim|Median: $6.18
4.8× median
99214Normal range

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

$92K

29K claims · 0.3%

Your Cost: $3.19/claim|Median: $53.41
0.1× median
87426Normal range

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

$91K

3,637 claims · 0.3%

Your Cost: $25.13/claim|Median: $30.04
0.8× median
90713Top 25%

Poliovirus vaccine (IPV)

$90K

8,243 claims · 0.3%

Your Cost: $10.92/claim|Median: $5.41
2.0× median
90680Top 25%

$85K

5,416 claims · 0.3%

Your Cost: $15.61/claim|Median: $5.58
2.8× median
90651Top 25%

HPV vaccine, 9-valent

$69K

1,656 claims · 0.2%

Your Cost: $41.47/claim|Median: $8.93
4.6× median
90648Normal range

$68K

8,373 claims · 0.2%

Your Cost: $8.09/claim|Median: $4.08
2.0× median
90707Top 25%

MMR vaccine

$61K

3,146 claims · 0.2%

Your Cost: $19.29/claim|Median: $5.76
3.3× median
90671Top 25%

$57K

1,753 claims · 0.2%

Your Cost: $32.78/claim|Median: $8.59
3.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$54K

9,815 claims · 0.2%

Your Cost: $5.53/claim|Median: $69.35
0.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$52K

1,604 claims · 0.2%

Your Cost: $32.67/claim|Median: $6.93
4.7× median
90633Top 25%

$39K

3,384 claims · 0.1%

Your Cost: $11.49/claim|Median: $3.56
3.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$37K

708 claims · 0.1%

Your Cost: $52.92/claim|Median: $37.22
1.4× median
90744Top 25%

$35K

3,547 claims · 0.1%

Your Cost: $9.87/claim|Median: $5.00
2.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$34K

10K claims · 0.1%

Your Cost: $3.39/claim|Median: $75.18
0.0× median
87807Normal range

$28K

2,714 claims · 0.1%

Your Cost: $10.43/claim|Median: $10.06
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$28K

475 claims · 0.1%

Your Cost: $58.91/claim|Median: $62.48
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$26K

2,848 claims · 0.1%

Your Cost: $9.10/claim|Median: $7.18
1.3× median
90619Top 25%

$19K

619 claims · 0.1%

Your Cost: $31.21/claim|Median: $8.36
3.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$11K

6,330 claims · 0.0%

Your Cost: $1.78/claim|Median: $74.82
0.0× median
90715Normal range

Tdap vaccine

$11K

869 claims · 0.0%

Your Cost: $12.32/claim|Median: $10.32
1.2× median
90734Top 10%

$10K

389 claims · 0.0%

Your Cost: $26.17/claim|Median: $6.40
4.1× median
36416Normal range

$10K

4,453 claims · 0.0%

Your Cost: $2.25/claim|Median: $1.31
1.7× median
90688Normal range

$9K

954 claims · 0.0%

Your Cost: $9.34/claim|Median: $9.00
1.0× median
90685Normal range

$6K

599 claims · 0.0%

Your Cost: $9.69/claim|Median: $5.96
1.6× median
90661Normal range

$3K

338 claims · 0.0%

Your Cost: $9.31/claim|Median: $14.37
0.6× median
99462Top 25%

$3K

85 claims · 0.0%

Your Cost: $35.88/claim|Median: $27.49
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$2K

4,044 claims · 0.0%

Your Cost: $0.39/claim|Median: $9.10
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$1K

120 claims · 0.0%

Your Cost: $11.59/claim|Median: $74.09
0.2× median
90687Normal range

$1K

172 claims · 0.0%

Your Cost: $7.87/claim|Median: $3.45
2.3× median
92551Normal range

Screening audiometry, pure tone, air only

$1K

10K claims · 0.0%

Your Cost: $0.13/claim|Median: $6.61
0.0× median
90381Top 25%

$1K

56 claims · 0.0%

Your Cost: $23.57/claim|Median: $9.69
2.4× median
99173Normal range

$1K

11K claims · 0.0%

Your Cost: $0.11/claim|Median: $2.16
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$959

2,565 claims · 0.0%

Your Cost: $0.37/claim|Median: $80.15
0.0× median
90621Normal range

$238

13 claims · 0.0%

Your Cost: $18.30/claim|Median: $7.66
2.4× median
99203Normal range

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

$231

1,150 claims · 0.0%

Your Cost: $0.20/claim|Median: $57.85
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$161

6,412 claims · 0.0%

Your Cost: $0.03/claim|Median: $3.67
0.0× median
81003Top 25%

Urinalysis, automated without microscopy

$152

57 claims · 0.0%

Your Cost: $2.67/claim|Median: $1.48
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$110

36 claims · 0.0%

Your Cost: $3.06/claim|Median: $25.06
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$55

490 claims · 0.0%

Your Cost: $0.11/claim|Median: $9.56
0.0× 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 Clinic/Center, Rural Health

Ashland Hospital Corporation

Ashland, KY

$222.8M

Reedley Community Hospital

Hanford, CA

$138.7M

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