Medicaid Provider Spending

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

KIDS TIME PEDIATRICS OF GWINNETT LLC

NPI: 1144508862 · LAWRENCEVILLE, GA 30045 · Pediatrics Physician · NPI assigned 07/29/2011

$57K
Total Medicaid Paid
1,600
Total Claims
1,545
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialCLYBURN, FLYNN (MANAGER)
NPI Enumeration Date07/29/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,340 $48K
2019 260 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 421 401 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 240 235 $20K
99050 712 686 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 159 156 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 68 67 $2K