SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC
NPI: 1184016941
· COLUMBIA, SC 29229
· 2080A0000X
$63.42M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
203,280 |
$7.10M |
| 2019 |
182,528 |
$6.94M |
| 2020 |
184,365 |
$7.45M |
| 2021 |
226,623 |
$10.39M |
| 2022 |
238,845 |
$11.06M |
| 2023 |
255,326 |
$11.44M |
| 2024 |
205,209 |
$9.04M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
246,045 |
223,988 |
$16.30M |
| 99214 |
|
139,772 |
129,226 |
$13.38M |
| 99392 |
|
59,514 |
58,101 |
$5.85M |
| 99391 |
|
55,414 |
52,848 |
$5.07M |
| 90460 |
|
161,524 |
152,603 |
$5.00M |
| 99393 |
|
36,014 |
35,018 |
$3.51M |
| 99394 |
|
15,413 |
14,884 |
$1.66M |
| 87635 |
|
31,869 |
30,604 |
$1.55M |
| 87502 |
|
18,640 |
17,980 |
$1.45M |
| G9153 |
Mapcp demo physician |
26,118 |
25,996 |
$1.33M |
| 90461 |
|
71,109 |
69,118 |
$1.21M |
| 87426 |
|
15,250 |
14,656 |
$756K |
| 99188 |
|
40,315 |
39,145 |
$614K |
| 96110 |
|
73,736 |
65,554 |
$547K |
| 96127 |
|
75,462 |
67,813 |
$513K |
| 87804 |
|
32,393 |
15,543 |
$439K |
| 99460 |
|
5,179 |
5,071 |
$434K |
| 87880 |
|
32,224 |
31,121 |
$433K |
| 99212 |
|
9,964 |
9,576 |
$400K |
| 87428 |
|
5,792 |
5,612 |
$348K |
| 99238 |
|
5,306 |
5,170 |
$347K |
| 87651 |
|
12,465 |
11,866 |
$345K |
| 96161 |
|
42,722 |
39,668 |
$335K |
| G0447 |
Behavior counsel obesity 15m |
22,689 |
22,317 |
$269K |
| 90847 |
|
1,525 |
1,115 |
$154K |
| 85018 |
|
67,434 |
65,197 |
$153K |
| 87634 |
|
1,938 |
1,890 |
$111K |
| 80061 |
|
8,901 |
8,507 |
$97K |
| 99401 |
|
2,884 |
2,773 |
$91K |
| 85025 |
|
10,425 |
9,496 |
$77K |
| 99051 |
|
6,565 |
6,420 |
$75K |
| 99202 |
|
1,292 |
1,246 |
$73K |
| U0002 |
Covid-19 lab test non-cdc |
1,251 |
1,181 |
$63K |
| 99177 |
|
14,261 |
13,945 |
$60K |
| 99462 |
|
1,625 |
1,377 |
$56K |
| 99211 |
|
2,764 |
2,568 |
$55K |
| 83655 |
|
2,746 |
2,658 |
$34K |
| 87811 |
|
771 |
755 |
$31K |
| 0071A |
|
747 |
736 |
$29K |
| 81003 |
|
7,540 |
7,056 |
$18K |
| 0001A |
|
386 |
373 |
$15K |
| 87807 |
|
1,311 |
1,245 |
$14K |
| 0072A |
|
330 |
327 |
$13K |
| 90480 |
|
410 |
368 |
$13K |
| 96160 |
|
1,651 |
1,598 |
$12K |
| 94010 |
|
498 |
490 |
$12K |
| 86769 |
|
267 |
239 |
$11K |
| 99203 |
|
106 |
98 |
$9K |
| 82247 |
|
1,638 |
1,217 |
$9K |
| 0002A |
|
220 |
219 |
$9K |
| 90834 |
|
129 |
94 |
$8K |
| 85013 |
|
1,720 |
1,649 |
$5K |
| H2000 |
Comp multidisipln evaluation |
26 |
26 |
$4K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$3K |
| 90686 |
|
28,862 |
28,087 |
$3K |
| 90677 |
|
3,698 |
3,573 |
$3K |
| 94640 |
|
265 |
249 |
$3K |
| 0124A |
|
79 |
68 |
$2K |
| 96380 |
|
132 |
129 |
$2K |
| 90656 |
|
2,488 |
2,401 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 97802 |
|
49 |
43 |
$1K |
| 90670 |
|
17,739 |
17,321 |
$1K |
| A4627 |
Spacer bag/reservoir |
33 |
31 |
$1K |
| 0154A |
|
24 |
24 |
$880.00 |
| 0081A |
|
25 |
25 |
$840.00 |
| 3008F |
|
9,857 |
9,689 |
$491.41 |
| 90651 |
|
1,129 |
1,085 |
$442.88 |
| 36416 |
|
11,911 |
10,926 |
$368.34 |
| 0121A |
|
16 |
13 |
$360.00 |
| 90698 |
|
15,266 |
14,841 |
$335.41 |
| 94760 |
|
321 |
300 |
$282.47 |
| 36415 |
|
72 |
72 |
$231.15 |
| 99050 |
|
13 |
13 |
$159.30 |
| 90648 |
|
3,703 |
3,616 |
$104.86 |
| 90680 |
|
9,797 |
9,539 |
$91.74 |
| 90685 |
|
1,016 |
995 |
$73.44 |
| 82465 |
|
17 |
16 |
$60.57 |
| 91300 |
|
365 |
341 |
$55.13 |
| 90633 |
|
4,459 |
4,316 |
$33.21 |
| 90744 |
|
2,555 |
2,487 |
$25.46 |
| 90700 |
|
174 |
169 |
$21.33 |
| 99072 |
|
906 |
762 |
$15.00 |
| 91307 |
|
1,225 |
1,128 |
$11.15 |
| 91308 |
|
126 |
126 |
$1.14 |
| 91312 |
|
75 |
66 |
$0.70 |
| 90381 |
|
70 |
70 |
$0.60 |
| 90619 |
|
174 |
163 |
$0.54 |
| 91319 |
|
29 |
29 |
$0.15 |
| 91315 |
|
12 |
12 |
$0.12 |
| 91318 |
|
14 |
12 |
$0.09 |
| 90723 |
|
2,260 |
2,197 |
$0.08 |
| 90688 |
|
17 |
14 |
$0.06 |
| 90734 |
|
213 |
205 |
$0.01 |
| 90696 |
|
15 |
14 |
$0.00 |
| 99426 |
|
157 |
154 |
$0.00 |
| 99000 |
|
62 |
57 |
$0.00 |
| 90716 |
|
31 |
30 |
$0.00 |
| 90687 |
|
228 |
215 |
$0.00 |
| 90715 |
|
114 |
109 |
$0.00 |
| 90707 |
|
39 |
38 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |