Clinic
Kidscare Pediatrics, P.A.
Kidscare Pediatrics, P.A. was paid $553K by Medicaid between Jan 2018 and Dec 2022, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoKIDSCARE PEDIATRICS, P.A.
SENECA, SC 29672
SENECA, SC 29672
33aNPI1003927690assigned 08/31/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$553K
24GClaims17,131
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in South Carolina
Rank by total paid#11 of 38
Median peer was paid$200K
This provider vs. median2.8×
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 | 3,357 | $91K | |
| 2019 | 3,901 | $108K | |
| 2020 | 3,339 | $115K | |
| 2021 | 3,825 | $138K | |
| 2022 | 2,709 | $100K |
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 | 33% | 3,018 | 2,602 | $184K |
| 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 | 26% | 1,569 | 1,459 | $146K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 1,786 | 1,679 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.9% | 1,002 | 911 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 287 | 272 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.5% | 381 | 369 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 169 | 165 | $16K |
| 96127 | 2.0% | 1,378 | 960 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 1,233 | 1,007 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 82 | 80 | $8K |
| 90461 | 1.4% | 258 | 245 | $8K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 90 | 81 | $7K |
13 more codes
| 92551 | 1.0% | 1,137 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 368 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 288 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 50 | $5K |
| 85018 | <1% | 1,499 | $3K | |
| 81002 | <1% | 1,164 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 235 | $3K |
| 96160 | <1% | 113 | $895.40 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 177 | $342.89 |
| 90686 | <1% | 739 | $328.40 | |
| 90656 | <1% | 21 | $152.90 | |
| 90685 | <1% | 20 | $54.87 | |
| 94760 | <1% | 67 | $35.15 |
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 officialSILVA, MONICA (OWNER)