Physician
Zoe Center for Pediatric & Adolescent Health, LLC
Zoe Center for Pediatric & Adolescent Health, LLC was paid $2.55M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC
THOMASTON, GA 30286
THOMASTON, GA 30286
33aNPI1053684936assigned 02/22/2012
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.55M
24GClaims100,710
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Georgia
Rank by total paid#3 of 15
Median peer was paid$1.14M
This provider vs. median2.2×
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 | 6,907 | $134K | |
| 2019 | 10,193 | $205K | |
| 2020 | 10,986 | $375K | |
| 2021 | 17,814 | $535K | |
| 2022 | 21,014 | $528K | |
| 2023 | 19,609 | $454K | |
| 2024incomplete | 14,187 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 13,672 | 9,884 | $929K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 13,247 | 10,114 | $693K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 6,450 | 5,068 | $136K |
| Q3014 | Telehealth originating site facility fee | 4.9% | 7,758 | 6,491 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 1,555 | 1,251 | $83K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 2,334 | 1,971 | $83K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 1,582 | 1,278 | $81K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 6,535 | 4,913 | $67K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 1,225 | 964 | $64K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 3,947 | 3,079 | $62K |
| 92283 | 2.4% | 3,453 | 2,764 | $61K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 4,908 | 3,654 | $46K |
44 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 487 | $22K |
| 99173 | <1% | 5,020 | $15K | |
| 92551 | <1% | 4,852 | $15K | |
| 36410 | <1% | 1,199 | $11K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 432 | $10K |
| 96127 | <1% | 2,383 | $8K | |
| 90670 | <1% | 799 | $7K | |
| 81002 | <1% | 2,646 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 305 | $3K |
| 99401 | <1% | 953 | $2K | |
| 96161 | <1% | 1,123 | $2K | |
| 90723 | <1% | 234 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 234 | $2K |
| 90647 | <1% | 283 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $2K |
| 90671 | <1% | 179 | $1K | |
| 87807 | <1% | 171 | $1K | |
| 90680 | <1% | 237 | $1K | |
| 90710 | <1% | 110 | $1K | |
| 90633 | <1% | 165 | $1K | |
| 99000 | <1% | 355 | $815.50 | |
| 96160 | <1% | 797 | $795.76 | |
| 99050 | <1% | 943 | $710.03 | |
| 83655 | <1% | 62 | $463.97 | |
| 90686 | <1% | 63 | $440.00 | |
| 90651 | <1% | 19 | $418.26 | |
| 92552 | <1% | 15 | $399.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 249 | $307.77 |
| 94664 | <1% | 41 | $245.75 | |
| 99188 | <1% | 932 | $225.96 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 40 | $207.00 |
| 90697 | <1% | 14 | $104.00 | |
| 90674 | <1% | 13 | $96.00 | |
| 90698 | <1% | 21 | $96.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,439 | $2.00 |
| 3008F | 0% | 2,737 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 139 | $0.00 |
| 94761 | 0% | 27 | $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) | 0% | 598 | $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) | 0% | 223 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 404 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 58 | $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 officialKONG, STEPHANIE (OWNER)