Lowcountry Pediatrics
Lowcountry Pediatrics was paid $2.24M by Medicaid between Jan 2018 and Jan 2023, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoLOWCOUNTRY PEDIATRICS
GOOSE CREEK, SC 29445
GOOSE CREEK, SC 29445
33aNPI1164531349assigned 08/30/2006
33bProvider typeSpecialist
28Total paid$2.24M
24GClaims57,908
24DCodes billed58
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#5 of 89
Median peer was paid$41K
This provider vs. median55×
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 | 15,173 | $473K | |
| 2019 | 13,728 | $469K | |
| 2020 | 9,885 | $480K | |
| 2021 | 9,621 | $459K | |
| 2022 | 9,043 | $348K | |
| 2023 | 458 | $17K |
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% | 10,324 | 9,432 | $642K |
| 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 | 28% | 6,695 | 6,228 | $628K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 1,988 | 1,943 | $179K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 1,793 | 1,712 | $157K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 1,093 | 1,050 | $91K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 3,972 | 3,789 | $79K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 562 | 535 | $71K |
| 97802 | 2.4% | 2,220 | 2,145 | $54K | |
| 90461 | 2.3% | 2,108 | 1,994 | $53K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 482 | 444 | $43K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 899 | 872 | $37K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.5% | 1,804 | 1,785 | $35K |
46 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 783 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,598 | $29K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.0% | 1,075 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,109 | $15K |
| 85018 | <1% | 4,043 | $10K | |
| 90651 | <1% | 193 | $9K | |
| 92551 | <1% | 1,921 | $8K | |
| 87449 | <1% | 547 | $7K | |
| 96127 | <1% | 822 | $6K | |
| 96160 | <1% | 634 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 532 | $5K |
| 94760 | <1% | 4,980 | $4K | |
| 83655 | <1% | 197 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 197 | $3K |
| 80061 | Lipid panel | <1% | 215 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 335 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 537 | $2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 26 | $2K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 42 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 96161 | <1% | 210 | $1K | |
| 90686 | <1% | 995 | $1K | |
| 88738 | <1% | 307 | $1K | |
| 99188 | <1% | 56 | $882.26 | |
| 87807 | <1% | 54 | $731.32 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 84 | $320.02 |
| 94664 | <1% | 27 | $315.54 | |
| 81002 | <1% | 69 | $202.22 | |
| 90681 | <1% | 46 | $138.09 | |
| 90474 | <1% | 21 | $99.76 | |
| 90723 | <1% | 82 | $89.01 | |
| 99177 | <1% | 17 | $53.92 | |
| 90647 | <1% | 71 | $31.33 | |
| 90715 | 0% | 33 | $0.00 | |
| 90633 | 0% | 270 | $0.00 | |
| 99173 | 0% | 112 | $0.00 | |
| 90670 | 0% | 549 | $0.00 | |
| 90734 | 0% | 21 | $0.00 | |
| 90707 | 0% | 77 | $0.00 | |
| 90716 | 0% | 94 | $0.00 | |
| 90698 | 0% | 197 | $0.00 | |
| 36416 | 0% | 536 | $0.00 | |
| 90696 | 0% | 30 | $0.00 | |
| 90680 | 0% | 90 | $0.00 | |
| 90744 | 0% | 68 | $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 officialPOGUE, ZOE (PRESIDENT/DOCTOR)