Physician
The Children's Doctors PC
The Children's Doctors PC was paid $646K by Medicaid between Jan 2018 and Nov 2021, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoTHE CHILDREN'S DOCTORS PC
FORT OGLETHORPE, GA 30742
FORT OGLETHORPE, GA 30742
33aNPI1295724680assigned 10/18/2005
33bProvider typePediatrics Physician
28Total paid$646K
24GClaims20,184
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#62 of 220
Median peer was paid$57K
This provider vs. median11×
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 | 5,988 | $170K | |
| 2019 | 5,569 | $191K | |
| 2020 | 4,873 | $155K | |
| 2021 | 3,754 | $130K |
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 | 25% | 3,722 | 3,445 | $158K |
| 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 | 22% | 2,239 | 2,099 | $145K |
| 96160 | 19% | 5,875 | 3,766 | $120K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 1,996 | 1,685 | $90K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.8% | 2,090 | 1,798 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 302 | 275 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 817 | 644 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 157 | 118 | $10K |
| 99173 | 1.0% | 1,252 | 1,093 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 92 | 77 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 79 | 74 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 157 | 155 | $2K |
11 more codes
| 92551 | <1% | 261 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 23 | $1K |
| 90686 | <1% | 285 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 54 | $589.24 |
| 96127 | <1% | 129 | $492.90 | |
| 90461 | <1% | 515 | $405.35 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 14 | $377.73 |
| 99050 | <1% | 14 | $290.57 | |
| 96161 | <1% | 22 | $162.95 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 37 | $155.10 |
| 36416 | <1% | 52 | $47.76 |
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 officialVANN, BRENDA (OFFICE MANAGER)