Physician
Sea Island Pediatrics
Sea Island Pediatrics was paid $3.22M by Medicaid between Jan 2018 and Jan 2023, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoSEA ISLAND PEDIATRICS
BEAUFORT, SC 29902
BEAUFORT, SC 29902
33aNPI1295852085assigned 03/25/2007
33bProvider typePediatrics Physician
28Total paid$3.22M
24GClaims68,693
24DCodes billed46
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#37 of 471
Median peer was paid$18K
This provider vs. median182×
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 | 14,624 | $581K | |
| 2019 | 13,137 | $554K | |
| 2020 | 11,368 | $507K | |
| 2021 | 13,583 | $685K | |
| 2022 | 15,343 | $856K | |
| 2023 | 638 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 10,212 | 9,601 | $975K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 11,641 | 10,831 | $765K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.1% | 8,992 | 8,820 | $293K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 2,953 | 2,927 | $287K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 2,397 | 2,340 | $216K |
| 97802 | 4.3% | 5,715 | 5,691 | $139K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 1,273 | 1,256 | $125K |
| 90461 | 3.0% | 3,835 | 3,748 | $95K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 798 | 796 | $85K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 4,729 | 4,575 | $66K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 912 | 889 | $47K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 2,885 | 1,452 | $41K |
34 more codes
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 592 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 107 | $14K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 476 | $8K |
| 87400 | <1% | 614 | $7K | |
| 87807 | <1% | 587 | $7K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 313 | $6K |
| 99383 | <1% | 50 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 125 | $5K |
| 99382 | <1% | 36 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 39 | $4K |
| 99384 | <1% | 12 | $2K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 40 | $1K |
| 85018 | <1% | 454 | $1K | |
| 83655 | <1% | 36 | $486.01 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 39 | $483.78 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 30 | $435.24 |
| 81002 | <1% | 104 | $312.59 | |
| 99441 | <1% | 18 | $284.39 | |
| 90670 | 0% | 1,880 | $0.00 | |
| 90710 | 0% | 143 | $0.00 | |
| 90633 | 0% | 624 | $0.00 | |
| 90681 | 0% | 323 | $0.00 | |
| 90707 | 0% | 41 | $0.00 | |
| 90734 | 0% | 129 | $0.00 | |
| 90700 | 0% | 103 | $0.00 | |
| 90685 | 0% | 29 | $0.00 | |
| 90715 | 0% | 20 | $0.00 | |
| 90651 | 0% | 182 | $0.00 | |
| 90723 | 0% | 1,037 | $0.00 | |
| 90647 | 0% | 1,113 | $0.00 | |
| 90686 | 0% | 2,854 | $0.00 | |
| 90716 | 0% | 65 | $0.00 | |
| 90696 | 0% | 123 | $0.00 | |
| 90620 | 0% | 13 | $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 officialKEANE, KAREN (PRESIDENT)