Physician
Middle Georgia Pediatrics
Middle Georgia Pediatrics was paid $4.16M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoMIDDLE GEORGIA PEDIATRICS
MACON, GA 31201
MACON, GA 31201
33aNPI1073885828assigned 02/08/2012
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$4.16M
24GClaims132,774
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Georgia
Rank by total paid#2 of 15
Median peer was paid$1.14M
This provider vs. median3.7×
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 | 14,356 | $491K | |
| 2019 | 14,766 | $481K | |
| 2020 | 14,525 | $435K | |
| 2021 | 20,961 | $671K | |
| 2022 | 27,606 | $907K | |
| 2023 | 24,386 | $745K | |
| 2024incomplete | 16,174 | $433K |
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 | 43% | 26,890 | 23,158 | $1.78M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 10,121 | 9,845 | $435K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 4,258 | 4,186 | $411K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 3,936 | 3,714 | $350K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 2,315 | 2,263 | $219K |
| 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 | 4.4% | 1,834 | 1,736 | $181K |
| 99050 | 3.6% | 9,012 | 8,214 | $152K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.5% | 16,071 | 14,874 | $145K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 1,096 | 1,077 | $110K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.4% | 2,718 | 2,553 | $98K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 3,121 | 2,678 | $83K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,605 | 1,554 | $66K |
41 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,408 | $33K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,015 | $23K |
| 99051 | <1% | 866 | $12K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 101 | $12K |
| 87807 | <1% | 689 | $10K | |
| 81001 | <1% | 3,228 | $8K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 94 | $6K |
| 96127 | <1% | 944 | $4K | |
| 87081 | <1% | 547 | $3K | |
| 96160 | <1% | 1,096 | $3K | |
| 99381 | <1% | 49 | $2K | |
| 99173 | <1% | 339 | $2K | |
| 92551 | <1% | 336 | $2K | |
| 87428 | <1% | 27 | $2K | |
| 88720 | <1% | 241 | $2K | |
| 90670 | <1% | 2,363 | $1K | |
| 94760 | <1% | 543 | $1K | |
| 99460 | <1% | 13 | $1K | |
| 96161 | <1% | 273 | $749.68 | |
| 96380 | <1% | 13 | $176.90 | |
| 90686 | <1% | 1,483 | $146.51 | |
| 90716 | <1% | 870 | $136.66 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $124.60 |
| 90698 | <1% | 2,662 | $123.59 | |
| 90744 | <1% | 1,050 | $95.40 | |
| 90707 | <1% | 875 | $79.43 | |
| 90677 | <1% | 220 | $54.43 | |
| 90651 | <1% | 242 | $41.63 | |
| 90656 | <1% | 52 | $22.35 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 7,507 | $6.35 |
| 36416 | <1% | 15,045 | $4.24 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 48 | $0.04 |
| 90700 | 0% | 113 | $0.00 | |
| 90734 | 0% | 220 | $0.00 | |
| 90633 | 0% | 880 | $0.00 | |
| 90715 | 0% | 32 | $0.00 | |
| 90685 | 0% | 148 | $0.00 | |
| 90648 | 0% | 45 | $0.00 | |
| 90680 | 0% | 1,607 | $0.00 | |
| 99000 | 0% | 460 | $0.00 | |
| 90620 | 0% | 40 | $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 officialBUSH, STANLEY (PROPRIETOR)