SOUTHSIDE PEDIATRICS OF AIKEN, LLC
NPI: 1245202217
· AIKEN, SC 29803
· 208000000X
$3.81M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
20,341 |
$713K |
| 2019 |
17,968 |
$666K |
| 2020 |
16,579 |
$636K |
| 2021 |
19,881 |
$914K |
| 2022 |
18,842 |
$885K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
30,741 |
27,025 |
$1.90M |
| 99392 |
|
3,601 |
3,560 |
$354K |
| 99391 |
|
3,765 |
3,647 |
$345K |
| 99393 |
|
2,797 |
2,734 |
$268K |
| 90460 |
|
9,770 |
9,395 |
$261K |
| 99394 |
|
1,350 |
1,326 |
$139K |
| 99214 |
|
1,189 |
1,160 |
$111K |
| 90461 |
|
4,108 |
4,036 |
$91K |
| 87428 |
|
943 |
927 |
$56K |
| 87804 |
|
2,346 |
1,926 |
$53K |
| 87811 |
|
796 |
779 |
$31K |
| G9153 |
Mapcp demo physician |
438 |
436 |
$31K |
| 87880 |
|
1,834 |
1,783 |
$24K |
| 96110 |
|
2,778 |
2,752 |
$20K |
| 99051 |
|
1,640 |
1,606 |
$19K |
| 87635 |
|
366 |
363 |
$18K |
| 96127 |
|
2,085 |
2,035 |
$15K |
| 87502 |
|
145 |
140 |
$14K |
| 85018 |
|
5,865 |
5,733 |
$14K |
| 99203 |
|
120 |
119 |
$11K |
| 81003 |
|
4,703 |
4,569 |
$10K |
| 87081 |
|
1,108 |
1,077 |
$7K |
| 83655 |
|
473 |
472 |
$6K |
| 99188 |
|
329 |
325 |
$5K |
| 94640 |
|
318 |
309 |
$3K |
| 0072A |
|
14 |
14 |
$560.00 |
| 82465 |
|
97 |
97 |
$401.16 |
| 83718 |
|
53 |
53 |
$354.81 |
| 81001 |
|
102 |
94 |
$312.27 |
| 87086 |
|
28 |
27 |
$192.23 |
| 90686 |
|
1,874 |
1,853 |
$49.50 |
| 90633 |
|
872 |
865 |
$0.00 |
| 90715 |
|
143 |
138 |
$0.00 |
| 90670 |
|
2,238 |
2,212 |
$0.00 |
| 90707 |
|
84 |
83 |
$0.00 |
| 90734 |
|
130 |
126 |
$0.00 |
| 90648 |
|
52 |
52 |
$0.00 |
| 90685 |
|
172 |
169 |
$0.00 |
| 90710 |
|
91 |
87 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90680 |
|
1,378 |
1,361 |
$0.00 |
| 90651 |
|
175 |
172 |
$0.00 |
| 90698 |
|
1,540 |
1,518 |
$0.00 |
| 90744 |
|
720 |
714 |
$0.00 |
| 90716 |
|
84 |
83 |
$0.00 |
| 90696 |
|
99 |
95 |
$0.00 |
| 91307 |
|
45 |
42 |
$0.00 |