Physician
Children's Medical Associates, LLC
Children's Medical Associates, LLC was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL ASSOCIATES, LLC
AUSTELL, GA 30106
AUSTELL, GA 30106
33aNPI1184908188assigned 10/10/2011
33bProvider typePediatrics Physician
28Total paid$2.13M
24GClaims67,587
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#38 of 220
Median peer was paid$57K
This provider vs. median37×
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 | 9,674 | $325K | |
| 2019 | 8,669 | $289K | |
| 2020 | 8,990 | $266K | |
| 2021 | 9,809 | $288K | |
| 2022 | 10,627 | $345K | |
| 2023 | 10,675 | $350K | |
| 2024incomplete | 9,143 | $265K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 7,289 | 6,710 | $743K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 5,212 | 5,112 | $245K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 1,979 | 1,918 | $194K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 1,857 | 1,831 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 2,235 | 2,118 | $158K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.9% | 3,437 | 3,353 | $147K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 1,188 | 1,159 | $114K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 1,005 | 993 | $112K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 3,187 | 3,055 | $47K |
| 97802 | 1.2% | 4,536 | 4,461 | $25K | |
| Q3014 | Telehealth originating site facility fee | <1% | 1,046 | 993 | $20K |
| 99429 | <1% | 1,836 | 895 | $20K |
46 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 138 | $19K |
| 81002 | <1% | 4,675 | $15K | |
| 96127 | <1% | 3,553 | $14K | |
| 85018 | <1% | 3,807 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 911 | $9K |
| 99383 | <1% | 76 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $7K |
| 92551 | <1% | 1,388 | $5K | |
| 99173 | <1% | 1,322 | $4K | |
| 99384 | <1% | 27 | $4K | |
| 96161 | <1% | 826 | $3K | |
| 99051 | <1% | 103 | $2K | |
| 99188 | <1% | 106 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 109 | $2K |
| 83655 | <1% | 170 | $2K | |
| 0071A | <1% | 55 | $2K | |
| 0072A | <1% | 44 | $2K | |
| 99401 | <1% | 46 | $1K | |
| 99382 | <1% | 12 | $1K | |
| 96160 | <1% | 250 | $633.22 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $459.08 |
| 90649 | <1% | 67 | $320.34 | |
| 92567 | <1% | 14 | $208.69 | |
| 94664 | <1% | 12 | $191.00 | |
| 5250F | <1% | 77 | $37.50 | |
| 36416 | <1% | 3,847 | $2.80 | |
| 90685 | 0% | 228 | $0.00 | |
| 90710 | 0% | 388 | $0.00 | |
| 3085F | 0% | 237 | $0.00 | |
| 90734 | 0% | 349 | $0.00 | |
| 90633 | 0% | 469 | $0.00 | |
| 99001 | 0% | 353 | $0.00 | |
| 90670 | 0% | 1,277 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 70 | $0.00 |
| 90715 | 0% | 18 | $0.00 | |
| 90647 | 0% | 623 | $0.00 | |
| 90680 | 0% | 494 | $0.00 | |
| 90620 | 0% | 87 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 3,898 | $0.00 |
| 90686 | 0% | 1,114 | $0.00 | |
| 90651 | 0% | 564 | $0.00 | |
| 90697 | 0% | 42 | $0.00 | |
| 90723 | 0% | 570 | $0.00 | |
| 91307 | 0% | 113 | $0.00 | |
| 99000 | 0% | 135 | $0.00 | |
| 90696 | 0% | 43 | $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 officialSALANDY, SHELLY-ANN (OWNER/ PEDIATRICIAN)