Clinic
Morphis Pediatric Group of Lancaster, P.A.
Morphis Pediatric Group of Lancaster, P.A. was paid $4.76M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoMORPHIS PEDIATRIC GROUP OF LANCASTER, P.A.
LANCASTER, SC 29720
LANCASTER, SC 29720
33aNPI1235209883assigned 11/09/2006
33bProvider typeRural Health Clinic/Center
28Total paid$4.76M
24GClaims116,953
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Carolina
Rank by total paid#6 of 81
Median peer was paid$302K
This provider vs. median16×
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 | 15,551 | $633K | |
| 2019 | 16,728 | $734K | |
| 2020 | 17,893 | $688K | |
| 2021 | 18,246 | $761K | |
| 2022 | 17,333 | $682K | |
| 2023 | 16,876 | $674K | |
| 2024incomplete | 14,326 | $586K |
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 | 31% | 14,746 | 13,443 | $1.47M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 20,158 | 17,655 | $1.42M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 2,460 | 2,415 | $253K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 2,021 | 1,984 | $226K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 7,615 | 7,430 | $216K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 2,239 | 2,139 | $211K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.1% | 13,248 | 12,337 | $194K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.5% | 3,434 | 3,269 | $165K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 1,496 | 1,475 | $153K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 8,095 | 3,881 | $118K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,594 | 1,552 | $64K |
| 90461 | 1.2% | 2,838 | 2,766 | $56K |
47 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,697 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,282 | $38K |
| 96127 | <1% | 2,817 | $19K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 163 | $16K |
| 85018 | <1% | 5,684 | $14K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 457 | $13K |
| 81003 | <1% | 5,611 | $13K | |
| 83655 | <1% | 1,003 | $12K | |
| 87807 | <1% | 991 | $12K | |
| 92551 | <1% | 1,544 | $12K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 457 | $6K |
| 99070 | <1% | 1,183 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 99051 | <1% | 118 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 99071 | <1% | 438 | $877.93 | |
| 90697 | <1% | 430 | $841.55 | |
| 90651 | <1% | 1,054 | $704.03 | |
| 96160 | <1% | 72 | $564.01 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $442.47 |
| 96161 | <1% | 50 | $413.89 | |
| 90670 | <1% | 1,624 | $371.74 | |
| 81025 | <1% | 43 | $269.17 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 68 | $263.07 |
| 94760 | <1% | 161 | $108.21 | |
| 90734 | <1% | 831 | $54.93 | |
| 85014 | <1% | 16 | $42.82 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 14 | $18.78 |
| 90647 | 0% | 457 | $0.00 | |
| 90634 | 0% | 602 | $0.00 | |
| 90620 | 0% | 272 | $0.00 | |
| 90716 | 0% | 53 | $0.00 | |
| 90723 | 0% | 789 | $0.00 | |
| 90677 | 0% | 90 | $0.00 | |
| 90680 | 0% | 768 | $0.00 | |
| 90686 | 0% | 403 | $0.00 | |
| 90696 | 0% | 116 | $0.00 | |
| 90707 | 0% | 483 | $0.00 | |
| 90633 | 0% | 383 | $0.00 | |
| 90648 | 0% | 236 | $0.00 | |
| 90681 | 0% | 30 | $0.00 | |
| 90715 | 0% | 271 | $0.00 | |
| 90658 | 0% | 121 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 99072 | 0% | 28 | $0.00 | |
| 90710 | 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 officialBRACKETT, NANCY (OFFICE MANAGER)