Clinic
Piedmont Pediatrics LLC
Piedmont Pediatrics LLC was paid $8.42M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoPIEDMONT PEDIATRICS LLC
CLINTON, SC 29325
CLINTON, SC 29325
33aNPI1083652630assigned 06/04/2006
33bProvider typeRural Health Clinic/Center
28Total paid$8.42M
24GClaims148,141
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Carolina
Rank by total paid#2 of 81
Median peer was paid$302K
This provider vs. median28×
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 | 18,846 | $965K | |
| 2019 | 21,532 | $1.04M | |
| 2020 | 18,350 | $888K | |
| 2021 | 23,147 | $1.25M | |
| 2022 | 24,566 | $1.63M | |
| 2023 | 25,291 | $1.58M | |
| 2024incomplete | 16,409 | $1.06M |
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 | 37% | 33,894 | 28,555 | $3.13M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 37% | 31,149 | 24,602 | $3.10M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 4,378 | 4,072 | $409K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 4,149 | 3,678 | $385K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 3,311 | 3,209 | $315K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 3,196 | 3,051 | $299K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 7,178 | 6,805 | $171K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 11,542 | 10,702 | $145K |
| 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 | 1.6% | 1,349 | 1,236 | $139K |
| 96127 | <1% | 10,771 | 10,221 | $72K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 812 | 801 | $70K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,399 | 2,052 | $54K |
32 more codes
| 90461 | <1% | 1,968 | $18K | |
| 83655 | <1% | 1,426 | $16K | |
| 81002 | <1% | 5,375 | $15K | |
| 97802 | <1% | 1,280 | $14K | |
| 99401 | <1% | 1,728 | $12K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 139 | $12K |
| 99381 | <1% | 74 | $8K | |
| 81025 | <1% | 1,190 | $8K | |
| 90670 | <1% | 1,875 | $5K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 691 | $5K |
| 85018 | <1% | 1,817 | $4K | |
| 90710 | <1% | 1,430 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 194 | $693.60 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 84 | $527.64 |
| 90633 | <1% | 1,526 | $417.74 | |
| 90723 | <1% | 1,981 | $309.08 | |
| 90651 | <1% | 964 | $251.89 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 35 | $178.88 |
| 82947 | <1% | 37 | $156.08 | |
| 90647 | <1% | 1,992 | $154.14 | |
| 90700 | <1% | 229 | $52.16 | |
| 90686 | <1% | 564 | $49.26 | |
| 90688 | <1% | 1,072 | $46.17 | |
| 90715 | <1% | 910 | $10.00 | |
| 90696 | 0% | 364 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 255 | $0.00 |
| 99402 | 0% | 13 | $0.00 | |
| 99173 | 0% | 2,389 | $0.00 | |
| 90734 | 0% | 660 | $0.00 | |
| 90681 | 0% | 946 | $0.00 | |
| 90671 | 0% | 704 | $0.00 | |
| 90672 | 0% | 101 | $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 officialNOLEN, KAREN (OFFICE MANAGER)