Physician
Pediatric Associates LLP
Pediatric Associates LLP was paid $4.95M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES LLP
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
33aNPI1245406719assigned 05/05/2008
33bProvider typePediatrics Physician
28Total paid$4.95M
24GClaims169,715
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#21 of 220
Median peer was paid$57K
This provider vs. median86×
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 | 14,699 | $442K | |
| 2019 | 20,268 | $562K | |
| 2020 | 22,198 | $588K | |
| 2021 | 28,619 | $882K | |
| 2022 | 34,724 | $1.05M | |
| 2023 | 32,002 | $966K | |
| 2024incomplete | 17,205 | $465K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 45,399 | 39,442 | $2.86M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 15,151 | 13,322 | $672K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 3,218 | 2,856 | $292K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 3,093 | 2,717 | $259K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 10,131 | 4,667 | $139K |
| 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 | 2.8% | 1,454 | 1,301 | $136K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.5% | 3,837 | 3,471 | $123K |
| 97802 | 2.3% | 30,176 | 25,836 | $112K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 9,806 | 8,703 | $82K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 5,300 | 4,821 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 749 | 665 | $67K |
| 87070 | <1% | 3,558 | 3,226 | $28K |
34 more codes
| 87807 | <1% | 1,888 | $27K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 808 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,614 | $14K |
| 90671 | <1% | 557 | $9K | |
| 81002 | <1% | 1,817 | $5K | |
| 87428 | <1% | 77 | $5K | |
| 82947 | <1% | 693 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | $3K |
| 99429 | <1% | 304 | $3K | |
| 94760 | <1% | 598 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 88 | $2K |
| 96161 | <1% | 668 | $2K | |
| 96127 | <1% | 245 | $800.11 | |
| 0002A | <1% | 19 | $670.03 | |
| 0001A | <1% | 15 | $612.12 | |
| 99173 | <1% | 271 | $609.92 | |
| 36416 | <1% | 11,374 | $589.25 | |
| 0072A | <1% | 15 | $486.00 | |
| 91300 | <1% | 49 | $462.40 | |
| 99401 | <1% | 55 | $326.70 | |
| 99051 | <1% | 16 | $313.00 | |
| 92551 | <1% | 132 | $292.13 | |
| 82465 | <1% | 69 | $163.69 | |
| 90686 | <1% | 1,645 | $145.22 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 12,577 | $114.33 |
| 91307 | <1% | 60 | $0.01 | |
| 90698 | 0% | 602 | $0.00 | |
| 90688 | 0% | 152 | $0.00 | |
| 90680 | 0% | 306 | $0.00 | |
| 90656 | 0% | 60 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 90670 | 0% | 881 | $0.00 | |
| 90633 | 0% | 37 | $0.00 | |
| 99072 | 0% | 95 | $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 officialHARE, LORI (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Dogwood Pediatric Therapy, PLLC | Raleigh, NC | $323K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.