Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

North Augusta Pediatrics LLC

North Augusta Pediatrics LLC was paid $4.00M by Medicaid between Apr 2022 and Dec 2024, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 39% of everything it billed.

33Billing provider infoNORTH AUGUSTA PEDIATRICS LLC
NORTH AUGUSTA, SC 29860
33aNPI1194496745assigned 09/23/2021
28Total paid$4.00M
24GClaims53,832
24DCodes billed19
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in South Carolina

Rank by total paid#9 of 81
Median peer was paid$302K
This provider vs. median13×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
202215,942$1.06M
202321,754$1.64M
2024incomplete16,136$1.30M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 39% 15,040 12,941 $1.57M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 17,590 16,419 $893K
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 9.8% 5,329 5,011 $391K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.3% 3,684 3,624 $332K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.7% 2,994 2,959 $267K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.0% 2,292 2,237 $201K
G9153 Mapcp demonstration - physician incentive pool 4.3% 2,660 2,652 $170K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.6% 1,154 1,141 $103K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 986 820 $30K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 388 346 $15K
99051 <1% 1,228 1,163 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 174 171 $5K
7 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 50 $2K
99382 <1% 14 $1K
99381 <1% 14 $1K
0072A <1% 12 $480.00
90698 <1% 103 $0.43
90670 <1% 83 $0.38
91307 0% 37 $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 officialDANGERFIELD, KATHERINE (OFFICE MANAGER)