Georgetown Physician Associates, LLC
Georgetown Physician Associates, LLC was paid $657K by Medicaid between Oct 2019 and Dec 2024, across 31 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 27% of everything it billed.
MYRTLE BEACH, SC 29588
Next to other Pediatrics Physician providers in South Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 16 | $984.04 | |
| 2020 | 495 | $25K | |
| 2021 | 3,072 | $140K | |
| 2022 | 3,737 | $140K | |
| 2023 | 5,009 | $168K | |
| 2024incomplete | 4,222 | $182K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 27% | 2,188 | 1,806 | $180K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,142 | 1,858 | $124K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 3,260 | 2,664 | $122K |
| 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 | 16% | 1,324 | 1,130 | $103K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 757 | 724 | $64K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 2,605 | 2,333 | $18K |
| 90461 | 1.1% | 944 | 799 | $8K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.1% | 166 | 58 | $7K |
| 87428 | 1.0% | 148 | 130 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 101 | 87 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 57 | 57 | $3K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 70 | 24 | $3K |
19 more codes
| 99188 | <1% | 245 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 224 | $2K |
| 90670 | <1% | 491 | $2K | |
| 99462 | <1% | 40 | $1K | |
| 99460 | <1% | 14 | $1K | |
| 96160 | <1% | 167 | $979.39 | |
| 87807 | <1% | 70 | $568.92 | |
| 90723 | <1% | 248 | $454.91 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 340 | $345.15 |
| 90677 | <1% | 80 | $288.81 | |
| 96161 | <1% | 61 | $246.38 | |
| 85018 | <1% | 93 | $166.35 | |
| 90648 | <1% | 521 | $65.15 | |
| 96127 | <1% | 13 | $47.31 | |
| 90633 | <1% | 42 | $32.65 | |
| 90697 | <1% | 36 | $0.04 | |
| 90686 | <1% | 43 | $0.03 | |
| 90700 | 0% | 37 | $0.00 | |
| 90681 | 0% | 24 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.