Clinic
The Children's Clinic
The Children's Clinic was paid $8.40M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoTHE CHILDREN'S CLINIC
LANCASTER, SC 29720
LANCASTER, SC 29720
33aNPI1184841942assigned 04/20/2007
33bProvider typeClinic/Center
28Total paid$8.40M
24GClaims207,571
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in South Carolina
Rank by total paid#2 of 33
Median peer was paid$154K
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 | 35,539 | $1.21M | |
| 2019 | 37,396 | $1.33M | |
| 2020 | 29,819 | $1.06M | |
| 2021 | 31,802 | $1.26M | |
| 2022 | 27,209 | $1.25M | |
| 2023 | 24,953 | $1.20M | |
| 2024incomplete | 20,853 | $1.09M |
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 | 55% | 69,768 | 60,273 | $4.63M |
| 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 | 7.0% | 6,106 | 5,736 | $584K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 5,368 | 5,337 | $536K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 4,637 | 4,536 | $426K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 3,670 | 3,644 | $371K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 17,138 | 16,797 | $315K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.7% | 7,633 | 7,416 | $313K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 2,598 | 2,580 | $288K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 11,864 | 11,513 | $170K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 5,422 | 5,294 | $154K |
| 90461 | 1.3% | 5,890 | 5,838 | $112K | |
| G9153 | Mapcp demonstration - physician incentive pool | 1.2% | 2,856 | 2,845 | $103K |
45 more codes
| 99070 | 1.1% | 14,306 | $92K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,769 | $66K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,219 | $50K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 528 | $34K |
| 81002 | <1% | 10,599 | $32K | |
| 83655 | <1% | 2,104 | $24K | |
| 87081 | <1% | 3,437 | $20K | |
| 99051 | <1% | 1,648 | $19K | |
| 85014 | <1% | 7,406 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 921 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 75 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 444 | $4K |
| 99188 | <1% | 261 | $4K | |
| 0072A | <1% | 80 | $3K | |
| 0071A | <1% | 79 | $3K | |
| 99441 | <1% | 165 | $3K | |
| 0002A | <1% | 49 | $2K | |
| 0001A | <1% | 47 | $2K | |
| 99442 | <1% | 59 | $2K | |
| 99383 | <1% | 15 | $2K | |
| 81025 | <1% | 221 | $2K | |
| 0003A | <1% | 16 | $640.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $453.81 |
| 94760 | <1% | 243 | $229.47 | |
| 82947 | <1% | 12 | $54.08 | |
| 99072 | <1% | 680 | $40.00 | |
| 90656 | <1% | 1,528 | $8.53 | |
| 90744 | 0% | 581 | $0.00 | |
| 90698 | 0% | 1,690 | $0.00 | |
| 90677 | 0% | 225 | $0.00 | |
| 90696 | 0% | 370 | $0.00 | |
| 90716 | 0% | 1,408 | $0.00 | |
| 90620 | 0% | 107 | $0.00 | |
| 36416 | 0% | 32 | $0.00 | |
| 90707 | 0% | 1,409 | $0.00 | |
| 90734 | 0% | 970 | $0.00 | |
| 90670 | 0% | 2,492 | $0.00 | |
| 90633 | 0% | 3,104 | $0.00 | |
| 90649 | 0% | 1,167 | $0.00 | |
| 90681 | 0% | 1,196 | $0.00 | |
| 90715 | 0% | 372 | $0.00 | |
| 90648 | 0% | 173 | $0.00 | |
| 90655 | 0% | 155 | $0.00 | |
| 90700 | 0% | 225 | $0.00 | |
| 90621 | 0% | 13 | $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 officialCRUZ, CARMINA (PEDIATRIC DOCTOR)