Pediatrics of Dalton, PA
Pediatrics of Dalton, PA was paid $5.47M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoPEDIATRICS OF DALTON, PA
DALTON, GA 30720
DALTON, GA 30720
33aNPI1063679207assigned 05/16/2008
33bProvider typeSpecialist
28Total paid$5.47M
24GClaims140,075
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Georgia
Rank by total paid#3 of 52
Median peer was paid$46K
This provider vs. median118×
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 | 21,282 | $860K | |
| 2019 | 20,464 | $811K | |
| 2020 | 18,581 | $649K | |
| 2021 | 20,166 | $773K | |
| 2022 | 23,782 | $990K | |
| 2023 | 23,521 | $900K | |
| 2024incomplete | 12,279 | $485K |
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 | 46% | 36,526 | 32,656 | $2.52M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.6% | 8,306 | 8,151 | $417K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 9,295 | 8,975 | $382K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 3,433 | 3,406 | $340K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 3,356 | 3,261 | $332K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 3,047 | 2,939 | $288K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 2,446 | 2,429 | $268K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.6% | 3,535 | 3,503 | $143K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 9,123 | 8,789 | $137K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 4,077 | 3,931 | $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 | 2.2% | 1,348 | 1,255 | $120K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.0% | 2,239 | 2,178 | $111K |
49 more codes
| J0561 | Injection, penicillin g benzathine, 100,000 units | 1.5% | 418 | $80K |
| 92587 | <1% | 845 | $42K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,167 | $23K |
| 85018 | <1% | 7,442 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,000 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,653 | $16K |
| 87081 | <1% | 1,693 | $13K | |
| 96127 | <1% | 2,822 | $13K | |
| 81000 | <1% | 2,547 | $9K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 221 | $9K |
| 99173 | <1% | 3,386 | $8K | |
| 85014 | <1% | 2,119 | $6K | |
| 99050 | <1% | 274 | $4K | |
| 90473 | <1% | 162 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 54 | $4K |
| 99460 | <1% | 42 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 183 | $3K |
| 82465 | <1% | 431 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 31 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 96160 | <1% | 348 | $1K | |
| 92551 | <1% | 186 | $819.26 | |
| 90671 | <1% | 403 | $340.84 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $312.22 |
| 36416 | <1% | 11,992 | $268.68 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 189 | $212.44 |
| 96161 | <1% | 55 | $212.00 | |
| 90651 | <1% | 827 | $206.87 | |
| 83655 | <1% | 13 | $136.00 | |
| 90716 | <1% | 741 | $122.02 | |
| 90686 | <1% | 1,640 | $86.54 | |
| 90670 | <1% | 1,740 | $84.93 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 47 | $83.73 |
| 94760 | <1% | 12 | $79.92 | |
| 90672 | <1% | 218 | $72.76 | |
| 90707 | <1% | 753 | $70.92 | |
| 90656 | <1% | 51 | $59.70 | |
| 90715 | <1% | 144 | $1.00 | |
| 90723 | 0% | 1,529 | $0.00 | |
| 99000 | 0% | 474 | $0.00 | |
| 90647 | 0% | 1,416 | $0.00 | |
| 90680 | 0% | 1,201 | $0.00 | |
| 90620 | 0% | 154 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $0.00 |
| 90696 | 0% | 30 | $0.00 | |
| 90633 | 0% | 974 | $0.00 | |
| 90734 | 0% | 610 | $0.00 | |
| 90681 | 0% | 24 | $0.00 | |
| 90700 | 0% | 39 | $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 officialDOCKERY, DONNA (ADMINISTRATOR)