Physician
Tri-County Pediatrics
Tri-County Pediatrics was paid $7.11M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoTRI-COUNTY PEDIATRICS
RIVERDALE, GA 30296
RIVERDALE, GA 30296
33aNPI1285859413assigned 04/14/2007
33bProvider typePediatrics Physician
28Total paid$7.11M
24GClaims185,164
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#12 of 220
Median peer was paid$57K
This provider vs. median124×
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 | 25,091 | $854K | |
| 2019 | 22,840 | $836K | |
| 2020 | 20,953 | $755K | |
| 2021 | 26,338 | $995K | |
| 2022 | 37,391 | $1.52M | |
| 2023 | 35,661 | $1.43M | |
| 2024incomplete | 16,890 | $724K |
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 | 35% | 35,975 | 33,478 | $2.46M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 19,924 | 19,373 | $954K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 7,652 | 7,482 | $747K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 6,952 | 6,743 | $684K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 5,921 | 5,784 | $553K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 4,024 | 3,954 | $437K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 6,474 | 6,163 | $265K |
| 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% | 1,952 | 1,891 | $200K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.8% | 1,430 | 1,411 | $198K |
| 92587 | 2.4% | 5,065 | 4,833 | $174K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 9,642 | 9,361 | $145K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,388 | 3,316 | $40K |
46 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 937 | $33K |
| 85018 | <1% | 10,195 | $27K | |
| 96127 | <1% | 5,883 | $26K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,678 | $25K |
| 99429 | <1% | 1,784 | $22K | |
| 80061 | Lipid panel | <1% | 1,073 | $18K |
| 99173 | <1% | 6,946 | $17K | |
| 96160 | <1% | 6,575 | $14K | |
| 99188 | <1% | 849 | $14K | |
| 99381 | <1% | 126 | $12K | |
| 83655 | <1% | 1,240 | $11K | |
| 87428 | <1% | 137 | $9K | |
| 96161 | <1% | 4,136 | $8K | |
| 99051 | <1% | 209 | $3K | |
| 94760 | <1% | 564 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 382 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 140 | $2K |
| 90671 | <1% | 331 | $2K | |
| 90651 | <1% | 871 | $831.72 | |
| 94010 | <1% | 28 | $613.49 | |
| 87081 | <1% | 231 | $570.49 | |
| 87807 | <1% | 14 | $223.75 | |
| 90633 | <1% | 1,598 | $210.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $185.96 |
| 36416 | <1% | 9,876 | $73.00 | |
| 88720 | <1% | 48 | $56.06 | |
| 90672 | <1% | 21 | $50.00 | |
| 90715 | <1% | 99 | $30.95 | |
| 90670 | <1% | 4,864 | $28.38 | |
| 90734 | <1% | 637 | $25.00 | |
| 90686 | <1% | 4,187 | $19.58 | |
| 5250F | <1% | 125 | $12.00 | |
| 90723 | 0% | 3,582 | $0.00 | |
| 90647 | 0% | 3,556 | $0.00 | |
| 90680 | 0% | 2,502 | $0.00 | |
| 90696 | 0% | 133 | $0.00 | |
| 90620 | 0% | 68 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 68 | $0.00 |
| 90619 | 0% | 44 | $0.00 | |
| 90716 | 0% | 26 | $0.00 | |
| 90658 | 0% | 215 | $0.00 | |
| 90710 | 0% | 123 | $0.00 | |
| 90700 | 0% | 80 | $0.00 | |
| 90685 | 0% | 94 | $0.00 | |
| 99072 | 0% | 453 | $0.00 | |
| 90707 | 0% | 25 | $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 officialCHADALAWADA, PURNA (PARTNER)