Physician
Moncks Corner Pediatrics LLC
Moncks Corner Pediatrics LLC was paid $1.14M by Medicaid between Jan 2018 and Jul 2022, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoMONCKS CORNER PEDIATRICS LLC
MONCKS CORNER, SC 29461
MONCKS CORNER, SC 29461
33aNPI1003070103assigned 07/17/2008
33bProvider typePediatrics Physician
28Total paid$1.14M
24GClaims25,089
24DCodes billed44
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#54 of 471
Median peer was paid$18K
This provider vs. median65×
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 | 5,744 | $242K | |
| 2019 | 5,307 | $255K | |
| 2020 | 5,268 | $240K | |
| 2021 | 6,678 | $289K | |
| 2022 | 2,092 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 3,881 | 3,545 | $202K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 15% | 1,980 | 1,711 | $174K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10% | 1,437 | 1,383 | $116K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 8.8% | 284 | 276 | $100K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.6% | 987 | 536 | $86K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 813 | 805 | $64K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.5% | 1,194 | 1,105 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 772 | 756 | $62K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.6% | 2,936 | 2,919 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 685 | 670 | $50K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 554 | 553 | $47K |
| 90461 | 2.5% | 1,429 | 1,428 | $28K |
32 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.8% | 665 | $21K |
| G9153 | Mapcp demonstration - physician incentive pool | 1.4% | 459 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 739 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 630 | $9K |
| 86769 | <1% | 186 | $8K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 909 | $7K |
| 87634 | <1% | 89 | $5K | |
| 86003 | <1% | 21 | $5K | |
| 92552 | <1% | 600 | $5K | |
| 99177 | <1% | 1,004 | $5K | |
| 90651 | <1% | 28 | $881.89 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 364 | $861.33 |
| 87807 | <1% | 63 | $778.10 | |
| 81003 | <1% | 359 | $773.35 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 18 | $732.90 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $456.08 |
| 99443 | <1% | 13 | $427.28 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $152.10 |
| 90715 | <1% | 13 | $78.08 | |
| 90473 | <1% | 15 | $50.45 | |
| 94760 | <1% | 13 | $1.62 | |
| 90696 | 0% | 13 | $0.00 | |
| 90647 | 0% | 73 | $0.00 | |
| 90723 | 0% | 296 | $0.00 | |
| 90686 | 0% | 614 | $0.00 | |
| 90672 | 0% | 123 | $0.00 | |
| 90670 | 0% | 473 | $0.00 | |
| 90734 | 0% | 45 | $0.00 | |
| 90633 | 0% | 232 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| 90681 | 0% | 14 | $0.00 | |
| 90648 | 0% | 28 | $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 officialWEST, JOSEPH (OWNER)