Clinic
Excellent Pediatrics
Excellent Pediatrics was paid $6.28M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoEXCELLENT PEDIATRICS
MONROE, GA 30655
MONROE, GA 30655
33aNPI1104141837assigned 04/06/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$6.28M
24GClaims224,866
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Georgia
Rank by total paid#1 of 17
Median peer was paid$285K
This provider vs. median22×
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 | 39,719 | $1.10M | |
| 2019 | 39,926 | $1.11M | |
| 2020 | 38,127 | $978K | |
| 2021 | 37,306 | $910K | |
| 2022 | 31,826 | $906K | |
| 2023 | 24,202 | $807K | |
| 2024incomplete | 13,760 | $466K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 16,834 | 15,365 | $1.67M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 13,790 | 12,564 | $929K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 12,685 | 12,345 | $652K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 5,143 | 5,041 | $517K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 4,326 | 4,234 | $429K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 3,991 | 3,874 | $377K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 3,102 | 3,034 | $337K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 8,246 | 7,954 | $333K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 10,244 | 4,948 | $153K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 9,363 | 8,844 | $141K |
| 99188 | 1.2% | 4,479 | 4,374 | $74K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 2,106 | 2,005 | $72K |
63 more codes
| 94760 | 1.2% | 9,519 | $72K | |
| 94010 | <1% | 1,975 | $50K | |
| 99381 | <1% | 515 | $47K | |
| 96127 | <1% | 8,657 | $44K | |
| 99429 | <1% | 5,320 | $43K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,287 | $43K |
| 97802 | <1% | 10,659 | $37K | |
| 94667 | <1% | 1,540 | $32K | |
| 94664 | <1% | 1,700 | $28K | |
| 96160 | <1% | 9,714 | $27K | |
| 92587 | <1% | 573 | $25K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 140 | $19K |
| 85018 | <1% | 6,095 | $18K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,076 | $17K |
| 96161 | <1% | 4,033 | $15K | |
| 92552 | <1% | 2,683 | $14K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 491 | $9K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 9,957 | $8K |
| 99173 | <1% | 6,623 | $6K | |
| 80061 | Lipid panel | <1% | 512 | $5K |
| 82465 | <1% | 1,109 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 375 | $4K |
| 95012 | <1% | 184 | $3K | |
| 92567 | <1% | 143 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 99401 | <1% | 94 | $2K | |
| 90651 | <1% | 1,323 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,740 | $2K |
| 99383 | <1% | 12 | $1K | |
| 0071A | <1% | 42 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 99051 | <1% | 76 | $1K | |
| 0072A | <1% | 27 | $1K | |
| 0001A | <1% | 16 | $490.00 | |
| 81003 | <1% | 182 | $420.40 | |
| 90716 | <1% | 1,464 | $373.34 | |
| 1005F | <1% | 2,176 | $324.68 | |
| 90707 | <1% | 1,314 | $221.00 | |
| 90620 | <1% | 2,197 | $188.21 | |
| 5250F | <1% | 1,898 | $186.00 | |
| 36416 | <1% | 4,788 | $125.40 | |
| 90715 | <1% | 398 | $63.00 | |
| 90686 | <1% | 2,626 | $59.69 | |
| 90671 | <1% | 355 | $50.00 | |
| 91300 | <1% | 28 | $42.13 | |
| 92551 | <1% | 12 | $8.05 | |
| 90681 | 0% | 1,584 | $0.00 | |
| 90700 | 0% | 330 | $0.00 | |
| 90670 | 0% | 2,803 | $0.00 | |
| 90648 | 0% | 1,903 | $0.00 | |
| 90633 | 0% | 1,484 | $0.00 | |
| 83655 | 0% | 1,613 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 272 | $0.00 |
| 90734 | 0% | 1,193 | $0.00 | |
| 99072 | 0% | 3,900 | $0.00 | |
| 90685 | 0% | 48 | $0.00 | |
| 90647 | 0% | 926 | $0.00 | |
| 90688 | 0% | 436 | $0.00 | |
| 99000 | 0% | 522 | $0.00 | |
| 90723 | 0% | 2,384 | $0.00 | |
| 90696 | 0% | 377 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 49 | $0.00 |
| 91307 | 0% | 58 | $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 officialMORALES, ROGER (OWNER)