Physician
Seashore Pediatrics
Seashore Pediatrics was paid $15.75M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoSEASHORE PEDIATRICS
LORIS, SC 29569
LORIS, SC 29569
33aNPI1265458251assigned 07/14/2006
33bProvider typePediatrics Physician
28Total paid$15.75M
24GClaims735,400
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#5 of 471
Median peer was paid$18K
This provider vs. median893×
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 | 44,482 | $1.42M | |
| 2019 | 58,678 | $1.92M | |
| 2020 | 47,119 | $1.54M | |
| 2021 | 96,073 | $2.32M | |
| 2022 | 167,472 | $2.96M | |
| 2023 | 156,763 | $2.83M | |
| 2024incomplete | 164,813 | $2.76M |
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 | 47% | 121,896 | 95,686 | $7.41M |
| 99199 | Unlisted special service, procedure or report | 9.4% | 307,265 | 148,163 | $1.49M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 13,243 | 11,666 | $1.09M |
| 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 | 6.6% | 11,316 | 9,706 | $1.05M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 12,890 | 11,258 | $966K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 8,139 | 7,214 | $700K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 4,704 | 4,136 | $441K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.7% | 11,402 | 9,799 | $424K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 24,630 | 21,041 | $320K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 19,790 | 16,615 | $307K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 22,455 | 19,299 | $293K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 13,303 | 11,144 | $254K |
59 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 9,545 | $192K |
| 97802 | <1% | 10,152 | $140K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,776 | $106K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14,613 | $99K |
| 87807 | <1% | 4,250 | $52K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 576 | $51K |
| 87430 | <1% | 3,923 | $40K | |
| 90461 | <1% | 3,531 | $40K | |
| 99460 | <1% | 653 | $39K | |
| 99499 | <1% | 506 | $38K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 602 | $33K |
| 92551 | <1% | 17,179 | $32K | |
| 96127 | <1% | 5,926 | $28K | |
| 99381 | <1% | 382 | $27K | |
| 87276 | <1% | 2,567 | $25K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,578 | $11K |
| 99383 | <1% | 108 | $9K | |
| 99462 | <1% | 291 | $8K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,688 | $7K |
| 81002 | <1% | 2,344 | $6K | |
| 90647 | <1% | 6,220 | $6K | |
| 94664 | <1% | 536 | $5K | |
| 99382 | <1% | 47 | $4K | |
| 87420 | <1% | 571 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 136 | $3K |
| 99051 | <1% | 203 | $2K | |
| 85018 | <1% | 1,002 | $2K | |
| 90651 | <1% | 2,341 | $2K | |
| 99384 | <1% | 16 | $1K | |
| 99173 | <1% | 15,165 | $1K | |
| 94760 | <1% | 9,621 | $864.73 | |
| 90697 | <1% | 2,348 | $752.00 | |
| 90734 | <1% | 1,291 | $533.46 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $423.12 |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $185.28 |
| 90715 | <1% | 1,725 | $148.86 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 32 | $111.66 |
| 90723 | <1% | 5,446 | $85.62 | |
| 90633 | <1% | 5,271 | $68.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $62.82 |
| 36416 | <1% | 1,944 | $50.56 | |
| 90710 | 0% | 5,347 | $0.00 | |
| 90670 | 0% | 8,367 | $0.00 | |
| 90681 | 0% | 4,091 | $0.00 | |
| 90671 | 0% | 444 | $0.00 | |
| 90700 | 0% | 1,713 | $0.00 | |
| 90687 | 0% | 761 | $0.00 | |
| 90658 | 0% | 109 | $0.00 | |
| 90696 | 0% | 2,317 | $0.00 | |
| 90619 | 0% | 826 | $0.00 | |
| 90688 | 0% | 2,405 | $0.00 | |
| 90620 | 0% | 279 | $0.00 | |
| 0072A | 0% | 16 | $0.00 | |
| 90656 | 0% | 264 | $0.00 | |
| 99172 | 0% | 36 | $0.00 | |
| 91307 | 0% | 22 | $0.00 | |
| 90686 | 0% | 132 | $0.00 | |
| 94761 | 0% | 17 | $0.00 | |
| 90657 | 0% | 76 | $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 officialLUDLOW, DONALD (PRESIDENT SEASHORE PEDIATRICS PC)