Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC

NPI: 1053684936 · THOMASTON, GA 30286 · Pediatric Adolescent Medicine Physician · NPI assigned 02/22/2012

$2.55M
Total Medicaid Paid
100,710
Total Claims
77,786
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKONG, STEPHANIE (OWNER)
NPI Enumeration Date02/22/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,907 $134K
2019 10,193 $205K
2020 10,986 $375K
2021 17,814 $535K
2022 21,014 $528K
2023 19,609 $454K
2024 14,187 $321K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,672 9,884 $929K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,247 10,114 $693K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,450 5,068 $136K
Q3014 Telehealth originating site facility fee 7,758 6,491 $126K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,555 1,251 $83K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,334 1,971 $83K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,582 1,278 $81K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,535 4,913 $67K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,225 964 $64K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,947 3,079 $62K
92283 3,453 2,764 $61K
90460 Immunization administration through 18 years of age via any route, first or only component 4,908 3,654 $46K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 487 350 $22K
99173 5,020 3,801 $15K
92551 4,852 3,709 $15K
36410 1,199 918 $11K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 432 368 $10K
96127 2,383 1,798 $8K
90670 799 627 $7K
81002 2,646 1,960 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 305 256 $3K
99401 953 690 $2K
96161 1,123 836 $2K
90723 234 201 $2K
D1206 Topical application of fluoride varnish 234 177 $2K
90647 283 232 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 17 $2K
99215 Prolong outpt/office vis 14 12 $2K
90671 179 116 $1K
87807 171 133 $1K
90680 237 162 $1K
90710 110 89 $1K
90633 165 131 $1K
99000 355 308 $815.50
96160 797 572 $795.76
99050 943 733 $710.03
83655 62 39 $463.97
90686 63 55 $440.00
90651 19 15 $418.26
92552 15 14 $399.12
36415 Collection of venous blood by venipuncture 249 205 $307.77
94664 41 27 $245.75
99188 932 768 $225.96
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 40 26 $207.00
90697 14 13 $104.00
90674 13 12 $96.00
90698 21 13 $96.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 4,439 3,621 $2.00
3008F 2,737 2,153 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 139 86 $0.00
94761 27 14 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 598 506 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 223 201 $0.00
G8484 Influenza immunization was not administered, reason not given 404 332 $0.00
G8482 Influenza immunization administered or previously received 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 58 47 $0.00