BRASELTON PEDIATRICS, PC
NPI: 1194974907
· HOSCHTON, GA 30548
· 261QM2500X
$447K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,029 |
$128K |
| 2019 |
4,932 |
$124K |
| 2020 |
3,093 |
$76K |
| 2021 |
3,753 |
$104K |
| 2022 |
447 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,272 |
2,816 |
$134K |
| 99214 |
|
1,004 |
918 |
$62K |
| 99392 |
|
772 |
751 |
$48K |
| 99212 |
|
1,630 |
1,534 |
$46K |
| 90460 |
|
1,970 |
1,911 |
$45K |
| 99391 |
|
634 |
622 |
$42K |
| 99393 |
|
425 |
411 |
$30K |
| 87880 |
|
1,139 |
1,039 |
$16K |
| 96110 |
|
502 |
491 |
$4K |
| 81000 |
|
1,300 |
1,232 |
$4K |
| 99394 |
|
39 |
39 |
$3K |
| 99173 |
|
1,033 |
1,003 |
$2K |
| G2023 |
Specimen collect covid-19 |
191 |
183 |
$2K |
| 99429 |
|
93 |
68 |
$2K |
| 92551 |
|
673 |
641 |
$2K |
| 96127 |
|
243 |
231 |
$1K |
| 36416 |
|
480 |
457 |
$633.60 |
| 94640 |
|
33 |
26 |
$464.85 |
| 96161 |
|
187 |
181 |
$445.65 |
| 36415 |
|
263 |
254 |
$333.75 |
| 87804 |
|
21 |
19 |
$267.25 |
| 99051 |
|
12 |
12 |
$186.20 |
| 81003 |
|
79 |
77 |
$62.79 |
| 90633 |
|
12 |
12 |
$52.72 |
| 90686 |
|
289 |
282 |
$50.00 |
| 90670 |
|
310 |
304 |
$0.00 |
| 5250F |
|
14 |
12 |
$0.00 |
| 90685 |
|
64 |
64 |
$0.00 |
| 99072 |
|
13 |
12 |
$0.00 |
| 99174 |
|
301 |
289 |
$0.00 |
| 90698 |
|
109 |
109 |
$0.00 |
| 90680 |
|
94 |
91 |
$0.00 |
| 90656 |
|
41 |
39 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |