Physician
Health Services of Central Georgia
Health Services of Central Georgia was paid $18.47M by Medicaid between Jan 2018 and Dec 2024, across 212 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoHEALTH SERVICES OF CENTRAL GEORGIA
MACON, GA 31201
MACON, GA 31201
33aNPI1184679482assigned 05/24/2006
33bProvider typePediatrics Physician
28Total paid$18.47M
24GClaims475,875
24DCodes billed212
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#4 of 220
Median peer was paid$57K
This provider vs. median322×
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 | 66,379 | $3.09M | |
| 2019 | 64,580 | $2.74M | |
| 2020 | 49,955 | $2.03M | |
| 2021 | 58,802 | $2.06M | |
| 2022 | 82,889 | $2.99M | |
| 2023 | 91,520 | $3.38M | |
| 2024incomplete | 61,750 | $2.17M |
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 | 16% | 66,694 | 60,936 | $2.93M |
| 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 | 13% | 38,701 | 34,278 | $2.48M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.4% | 10,562 | 8,320 | $1.00M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 4.0% | 4,909 | 4,684 | $747K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.9% | 16,715 | 6,241 | $721K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.8% | 9,965 | 6,633 | $704K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 22,207 | 8,550 | $690K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 20,352 | 17,694 | $618K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 2.7% | 10,983 | 3,970 | $498K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 7,194 | 6,219 | $440K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.3% | 3,170 | 3,098 | $428K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.2% | 8,075 | 7,136 | $403K |
200 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 5,496 | $379K |
| 76820 | 2.0% | 5,367 | $378K | |
| 99203 | Doctor's office visit, new patient (routine) | 2.0% | 4,849 | $372K |
| 99243 | 1.9% | 3,548 | $349K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 5,794 | $348K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.7% | 8,126 | $310K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 71,476 | $290K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 7,626 | $285K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 3,033 | $282K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 10,755 | $270K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 1,594 | $215K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 2,875 | $204K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.1% | 2,790 | $195K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.1% | 1,710 | $195K |
| 76825 | <1% | 1,530 | $171K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 10,199 | $163K |
| 01922 | <1% | 861 | $139K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 3,262 | $137K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,189 | $128K |
| 99283 | Emergency room visit (moderate) | <1% | 2,303 | $126K |
| 99242 | <1% | 1,592 | $116K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,443 | $115K |
| 93325 | <1% | 1,223 | $97K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,045 | $95K |
| 99284 | Emergency room visit (serious) | <1% | 1,235 | $94K |
| 76818 | <1% | 1,534 | $92K | |
| 96112 | <1% | 919 | $86K | |
| 59025 | Fetal non-stress test | <1% | 2,884 | $76K |
| 99460 | <1% | 955 | $74K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 925 | $61K |
| 90837 | Psychotherapy session, about an hour | <1% | 643 | $59K |
| 95816 | <1% | 1,942 | $57K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,484 | $46K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,367 | $45K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 714 | $43K |
| 99219 | <1% | 399 | $43K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,264 | $35K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 584 | $32K |
| 96101 | <1% | 117 | $31K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 14 | $28K |
| 99245 | <1% | 206 | $26K | |
| 93922 | <1% | 1,705 | $26K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 122 | $25K |
| 99350 | Prolong home eval add 15m | <1% | 312 | $25K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,364 | $23K |
| 99254 | <1% | 220 | $22K | |
| 99221 | <1% | 282 | $21K | |
| 99253 | <1% | 473 | $18K | |
| 92526 | <1% | 474 | $18K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 279 | $16K |
| 99217 | <1% | 280 | $16K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,099 | $15K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 37 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,361 | $14K |
| 54150 | <1% | 142 | $13K | |
| 00731 | <1% | 164 | $13K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 2,323 | $13K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 334 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 147 | $12K |
| 92133 | <1% | 671 | $11K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 197 | $11K |
| 95819 | <1% | 210 | $10K | |
| 95251 | <1% | 443 | $9K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 138 | $9K |
| 96127 | <1% | 1,829 | $8K | |
| 99255 | <1% | 228 | $8K | |
| 99235 | <1% | 42 | $7K | |
| 99285 | Emergency room visit (most serious) | <1% | 65 | $7K |
| 72082 | <1% | 175 | $7K | |
| 0500F | <1% | 89 | $6K | |
| 72081 | <1% | 325 | $6K | |
| 81025 | <1% | 823 | $6K | |
| 93880 | <1% | 163 | $5K | |
| 90474 | <1% | 602 | $5K | |
| 73100 | <1% | 360 | $5K | |
| 81003 | <1% | 2,489 | $5K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 496 | $5K |
| 96161 | <1% | 1,566 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 30 | $4K |
| 92558 | <1% | 1,398 | $4K | |
| 99218 | <1% | 35 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 229 | $3K |
| 99241 | <1% | 74 | $3K | |
| 99051 | <1% | 166 | $3K | |
| 99152 | <1% | 1,246 | $3K | |
| 82962 | <1% | 1,264 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 158 | $2K |
| 99173 | <1% | 1,405 | $2K | |
| 99220 | <1% | 15 | $2K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 44 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,401 | $2K |
| 73070 | <1% | 109 | $2K | |
| 92083 | <1% | 56 | $2K | |
| 96116 | <1% | 26 | $2K | |
| 00813 | <1% | 12 | $2K | |
| 97802 | <1% | 225 | $2K | |
| 73610 | <1% | 99 | $2K | |
| 73521 | <1% | 78 | $2K | |
| 99356 | <1% | 45 | $2K | |
| 99348 | <1% | 122 | $1K | |
| 99422 | <1% | 67 | $1K | |
| 29065 | <1% | 12 | $1K | |
| 87428 | <1% | 20 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,476 | $1K |
| 73560 | <1% | 56 | $1K | |
| 76770 | <1% | 15 | $1K | |
| 99225 | <1% | 24 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 24 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 42 | $982.66 |
| 99050 | <1% | 51 | $952.00 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 17 | $948.88 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 19 | $932.83 |
| 36902 | <1% | 53 | $914.46 | |
| 99307 | <1% | 79 | $856.60 | |
| 83655 | <1% | 118 | $851.11 | |
| 94760 | <1% | 348 | $836.10 | |
| 51798 | <1% | 171 | $766.97 | |
| 20611 | <1% | 15 | $722.77 | |
| 77073 | <1% | 26 | $677.40 | |
| 20610 | <1% | 18 | $630.31 | |
| 99201 | <1% | 17 | $612.56 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 572 | $593.52 |
| 92250 | <1% | 44 | $484.79 | |
| 90686 | <1% | 2,768 | $442.66 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 131 | $426.28 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 35 | $393.69 |
| 97803 | <1% | 26 | $381.33 | |
| 71045 | Radiologic examination, chest; single view | <1% | 90 | $318.30 |
| 77001 | <1% | 92 | $274.94 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 73 | $253.35 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 35 | $232.89 |
| 96160 | <1% | 146 | $212.66 | |
| 87400 | <1% | 16 | $200.86 | |
| 99188 | <1% | 12 | $199.46 | |
| 73562 | <1% | 15 | $188.60 | |
| 99177 | <1% | 236 | $183.60 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 35 | $181.77 |
| 94010 | <1% | 13 | $137.34 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 14 | $133.20 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 14 | $115.68 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 14 | $115.68 |
| 94727 | <1% | 12 | $115.45 | |
| 92551 | <1% | 106 | $94.56 | |
| 94729 | <1% | 13 | $83.79 | |
| 76937 | <1% | 28 | $80.54 | |
| 99417 | Prolong home eval add 15m | <1% | 22 | $75.60 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 28 | $73.38 |
| 3078F | <1% | 1,035 | $50.00 | |
| 85018 | <1% | 14 | $42.92 | |
| 90670 | <1% | 2,475 | $0.70 | |
| 2015F | <1% | 143 | $0.52 | |
| 90723 | <1% | 1,648 | $0.39 | |
| 90647 | <1% | 1,399 | $0.23 | |
| 90633 | <1% | 444 | $0.23 | |
| 90688 | <1% | 85 | $0.12 | |
| 90685 | <1% | 32 | $0.04 | |
| 3074F | <1% | 784 | $0.01 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 749 | $0.00 |
| 99024 | 0% | 7,592 | $0.00 | |
| 90677 | 0% | 169 | $0.00 | |
| 1170F | 0% | 743 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 104 | $0.00 |
| 1125F | 0% | 184 | $0.00 | |
| 1036F | 0% | 793 | $0.00 | |
| 3044F | 0% | 337 | $0.00 | |
| 1101F | 0% | 451 | $0.00 | |
| 3075F | 0% | 185 | $0.00 | |
| 3079F | 0% | 197 | $0.00 | |
| 3008F | 0% | 1,640 | $0.00 | |
| 3061F | 0% | 154 | $0.00 | |
| 3017F | 0% | 320 | $0.00 | |
| 1126F | 0% | 146 | $0.00 | |
| 90656 | 0% | 72 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 13 | $0.00 |
| 90680 | 0% | 641 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 24 | $0.00 |
| 3014F | 0% | 255 | $0.00 | |
| 90651 | 0% | 181 | $0.00 | |
| 99441 | 0% | 111 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 42 | $0.00 |
| 3351F | 0% | 19 | $0.00 | |
| 1111F | 0% | 15 | $0.00 | |
| 90696 | 0% | 27 | $0.00 | |
| 90710 | 0% | 179 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 53 | $0.00 |
| 1160F | 0% | 1,286 | $0.00 | |
| 1159F | 0% | 1,400 | $0.00 | |
| 99442 | 0% | 201 | $0.00 | |
| 90734 | 0% | 131 | $0.00 | |
| 1100F | 0% | 13 | $0.00 | |
| 4004F | 0% | 16 | $0.00 | |
| 90681 | 0% | 130 | $0.00 | |
| 99053 | 0% | 96 | $0.00 | |
| 99499 | 0% | 39 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 59 | $0.00 |
| 99397 | 0% | 17 | $0.00 | |
| 3077F | 0% | 33 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 30 | $0.00 |
| 90662 | 0% | 18 | $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 officialWHEELER, PHILIP (CFO)