Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC ASSOCIATES LLP

NPI: 1245406719 · GAINESVILLE, GA 30501 · Pediatrics Physician · NPI assigned 05/05/2008

$4.95M
Total Medicaid Paid
169,715
Total Claims
144,163
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARE, LORI (BILLING MANAGER)
NPI Enumeration Date05/05/2008

Related Entities

Other providers sharing the same authorized official: HARE, LORI

ProviderCityStateTotal Paid
DOGWOOD PEDIATRIC THERAPY, PLLC RALEIGH NC $323K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,699 $442K
2019 20,268 $562K
2020 22,198 $588K
2021 28,619 $882K
2022 34,724 $1.05M
2023 32,002 $966K
2024 17,205 $465K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,399 39,442 $2.86M
90460 Immunization administration through 18 years of age via any route, first or only component 15,151 13,322 $672K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,218 2,856 $292K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,093 2,717 $259K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,131 4,667 $139K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,454 1,301 $136K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,837 3,471 $123K
97802 30,176 25,836 $112K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,806 8,703 $82K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,300 4,821 $72K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 749 665 $67K
87070 3,558 3,226 $28K
87807 1,888 1,778 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 808 607 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,614 1,458 $14K
90671 557 481 $9K
81002 1,817 1,600 $5K
87428 77 74 $5K
82947 693 661 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 44 27 $3K
99429 304 209 $3K
94760 598 445 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 88 88 $2K
96161 668 593 $2K
96127 245 186 $800.11
0002A 19 19 $670.03
0001A 15 15 $612.12
99173 271 248 $609.92
36416 11,374 9,729 $589.25
0072A 15 13 $486.00
91300 49 41 $462.40
99401 55 48 $326.70
99051 16 16 $313.00
92551 132 119 $292.13
82465 69 62 $163.69
90686 1,645 1,477 $145.22
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 12,577 11,186 $114.33
91307 60 43 $0.01
90698 602 526 $0.00
90688 152 132 $0.00
90680 306 280 $0.00
90656 60 43 $0.00
90744 12 12 $0.00
90670 881 804 $0.00
90633 37 36 $0.00
99072 95 80 $0.00