Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Child Neurology & Seizure Specialists, PC (NPI 1326100215)

Field	Value
Entity Type	Organization
Organization	Child Neurology & Seizure Specialists, PC
Address	2702 Hospital Dr
City	Northport
State	AL
ZIP	35476
Taxonomy	Specialist
NPI Enumerated	December 15, 2006

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95951	N/A	850	$1,100	$930.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,770	$60	$363.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,440	$40	$97.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	610	$110	$69.2K
95953	N/A	170	$270	$46.5K
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	80	$110	$8.4K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	70	$100	$6.6K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	90	$50	$4K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	70	$40	$3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$40	$2.6K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Child Neurology & Seizure Specialists, PC — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95951	N/A	3	10	580	$480	$386.2K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	5	10	360	$190	$347.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	283	1,990	680	$60	$201.7K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	37	120	170	$160	$200.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	574	1,990	560	$40	$185.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	323	400	470	$30	$97.1K
95953	N/A	1	10	170	$270	$46.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	340	500	120	$60	$42.2K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	20	30	30	$180	$23.4K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	12	20	70	$90	$13.6K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Child Neurology & Seizure Specialists, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bama Pedicatrics LLC	AL	Pediatrics Physician	$0	$3.7M
Relias Emergency Medicine Specialists Of Northport, LLC	AL	Emergency Medicine Physician	$0	$3.2M
Dva Healthcare Renal Care Inc	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Capstone Health Services Foundation PC	AL	Multi-Specialty Clinic/Center	$0	$1M
James Barnett	AL	Physical Medicine & Rehabilitation Physician	$424.2K	$0
Eugene Mangieri	AL	Pain Medicine (Anesthesiology) Physician	$204.7K	$0
John Waits	AL	Surgery Physician	$178.6K	$0
Stephen Browne	AL	Internal Medicine Physician	$145.5K	$0
John Tuten	AL	Family Medicine Physician	$108.3K	$0
Thomas Mcintyre	AL	Family Medicine Physician	$69.6K	$0

Child Neurology & Seizure Specialists, PC — Billing Profile & Reimbursement Data

Sign up for Child Neurology & Seizure Specialists, PC — Billing Profile & Reimbursement Data policy alerts

Child Neurology & Seizure Specialists, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References