Physician
Seaside Pediatrics of Bluffton, PC
Seaside Pediatrics of Bluffton, PC was paid $8.43M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoSEASIDE PEDIATRICS OF BLUFFTON, PC
BLUFFTON, SC 29910
BLUFFTON, SC 29910
33aNPI1154480366assigned 12/06/2006
33bProvider typePediatrics Physician
28Total paid$8.43M
24GClaims175,822
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#14 of 471
Median peer was paid$18K
This provider vs. median478×
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 | 24,445 | $1.01M | |
| 2019 | 21,522 | $988K | |
| 2020 | 24,823 | $1.16M | |
| 2021 | 28,586 | $1.43M | |
| 2022 | 27,706 | $1.37M | |
| 2023 | 26,941 | $1.31M | |
| 2024incomplete | 21,799 | $1.17M |
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 | 29% | 36,425 | 33,893 | $2.43M |
| 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 | 21% | 18,621 | 17,677 | $1.80M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 8,309 | 8,073 | $811K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 8,061 | 7,469 | $736K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 21,910 | 20,299 | $658K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 6,365 | 5,997 | $612K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 3,747 | 3,644 | $403K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 5,789 | 5,549 | $284K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 4,493 | 4,288 | $180K |
| 90461 | 1.9% | 8,331 | 7,771 | $156K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 5,947 | 4,249 | $107K |
| G9153 | Mapcp demonstration - physician incentive pool | 1.1% | 1,927 | 1,910 | $91K |
34 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,138 | $71K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,045 | $25K |
| 83655 | <1% | 1,434 | $17K | |
| 85018 | <1% | 6,473 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,870 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 286 | $6K |
| 99381 | <1% | 44 | $5K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 296 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 950 | $2K |
| 87807 | <1% | 172 | $2K | |
| 81002 | <1% | 395 | $1K | |
| 99441 | <1% | 53 | $855.68 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 63 | $667.95 |
| 90651 | <1% | 1,291 | $590.14 | |
| 96161 | <1% | 49 | $350.02 | |
| 96160 | <1% | 41 | $293.04 | |
| 90677 | <1% | 885 | $257.25 | |
| 90686 | <1% | 4,907 | $229.88 | |
| 96127 | <1% | 27 | $227.52 | |
| 90672 | <1% | 224 | $67.74 | |
| 90633 | <1% | 2,408 | $64.48 | |
| 90473 | <1% | 21 | $63.24 | |
| 90648 | 0% | 4,745 | $0.00 | |
| 90670 | 0% | 3,813 | $0.00 | |
| 90685 | 0% | 410 | $0.00 | |
| 90707 | 0% | 1,541 | $0.00 | |
| 90734 | 0% | 580 | $0.00 | |
| 90681 | 0% | 1,132 | $0.00 | |
| 90715 | 0% | 336 | $0.00 | |
| 90700 | 0% | 50 | $0.00 | |
| 90716 | 0% | 1,607 | $0.00 | |
| 90723 | 0% | 3,278 | $0.00 | |
| 90696 | 0% | 165 | $0.00 | |
| 90619 | 0% | 168 | $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 officialBERRIGAN, MAUREEN (OWNER)