Medicaid Provider Spending

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

PEDSNOW LLC

NPI: 1255012753 · POOLER, GA 31322 · Pediatric Adolescent Medicine Physician · NPI assigned 07/27/2023

$51K
Total Medicaid Paid
764
Total Claims
706
Beneficiaries
7
Codes Billed
2024-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAJAYI, PHILLIP (OWNER)
Parent OrganizationPEDSNOW LLC
NPI Enumeration Date07/27/2023

Related Entities

Other providers sharing the same authorized official: AJAYI, PHILLIP

ProviderCityStateTotal Paid
PEDSNOW LLC HINESVILLE GA $1.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 764 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 177 177 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 145 138 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 126 126 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 84 81 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 139 91 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 67 67 $475.00
87807 26 26 $190.00