Sheridan Children's Healthcare Services of South Carolina, P.A.

Sheridan Children's Healthcare Services of South Carolina, P.A. was paid $187K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 33% of everything it billed.

33Billing provider infoSHERIDAN CHILDREN'S HEALTHCARE SERVICES OF SOUTH CAROLINA, P.A.
SUMMERVILLE, SC 29485

33aNPI1023364734assigned 07/31/2012

33bProvider typePediatrics Physician

28Total paid$187K

24GClaims2,196

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#81 of 471

Median peer was paid$18K

This provider vs. median11×

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	434	$26K
2019	413	$28K
2020	649	$68K
2021	25	$3K
2022	249	$23K
2023	270	$26K
2024incomplete	156	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99479	Subsequent intensive care, per day, very low birth weight infant	33%	712	148	$62K
99480	Subsequent intensive care, per day, low birth weight infant	19%	368	95	$35K
99238	Hospital discharge day management, 30 minutes or less	18%	597	581	$34K
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	12%	83	38	$23K
99239	Hospital discharge day management, more than 30 minutes	7.5%	165	157	$14K
99222	Initial hospital care, per day, moderate complexity	7.3%	134	132	$14K
99460		2.8%	112	112	$5K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	25	14	$798.57

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 officialAUERBACH, M. RICHARD (PRESIDENT)

Same official

Other billing entities under AUERBACH, M. RICHARD

Full network →

Provider	Location	Paid
Sheridan Children's Healthcare Services of New Jersey, PC	Jersey City, NJ	$1.45M
Sheridan Healthcare Services of North Carolina PA	Morganton, NC	$440K
Sheridan Children's Healthcare Services of Tennessee, PC	Memphis, TN	$437K
Sheridan Children's Healthcare Services of South Carolina, P.A.	Charleston, SC	$327.60

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.