Medicaid Provider Spending

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

MIDDLE GEORGIA PEDIATRICS

NPI: 1073885828 · MACON, GA 31201 · Pediatric Adolescent Medicine Physician · NPI assigned 02/08/2012

$4.16M
Total Medicaid Paid
132,774
Total Claims
123,245
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUSH, STANLEY (PROPRIETOR)
NPI Enumeration Date02/08/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,356 $491K
2019 14,766 $481K
2020 14,525 $435K
2021 20,961 $671K
2022 27,606 $907K
2023 24,386 $745K
2024 16,174 $433K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,890 23,158 $1.78M
90460 Immunization administration through 18 years of age via any route, first or only component 10,121 9,845 $435K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,258 4,186 $411K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,936 3,714 $350K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,315 2,263 $219K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,834 1,736 $181K
99050 9,012 8,214 $152K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,071 14,874 $145K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,096 1,077 $110K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,718 2,553 $98K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,121 2,678 $83K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,605 1,554 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,408 2,318 $33K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,015 1,974 $23K
99051 866 810 $12K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 101 98 $12K
87807 689 645 $10K
81001 3,228 3,130 $8K
99238 Hospital discharge day management, 30 minutes or less 94 90 $6K
96127 944 924 $4K
87081 547 523 $3K
96160 1,096 1,068 $3K
99381 49 29 $2K
99173 339 332 $2K
92551 336 329 $2K
87428 27 27 $2K
88720 241 129 $2K
90670 2,363 2,311 $1K
94760 543 487 $1K
99460 13 12 $1K
96161 273 257 $749.68
96380 13 12 $176.90
90686 1,483 1,440 $146.51
90716 870 852 $136.66
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $124.60
90698 2,662 2,599 $123.59
90744 1,050 1,015 $95.40
90707 875 860 $79.43
90677 220 207 $54.43
90651 242 240 $41.63
90656 52 52 $22.35
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 7,507 7,199 $6.35
36416 15,045 13,896 $4.24
G8510 Screening for depression is documented as negative, a follow-up plan is not required 48 48 $0.04
90700 113 109 $0.00
90734 220 217 $0.00
90633 880 868 $0.00
90715 32 32 $0.00
90685 148 143 $0.00
90648 45 42 $0.00
90680 1,607 1,568 $0.00
99000 460 449 $0.00
90620 40 40 $0.00