Physician
Pediatric Acute Care of Columbus, P.C.
Pediatric Acute Care of Columbus, P.C. was paid $373K by Medicaid between Jan 2018 and Dec 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPEDIATRIC ACUTE CARE OF COLUMBUS, P.C.
COLUMBUS, GA 31909
COLUMBUS, GA 31909
33aNPI1295967602assigned 08/18/2009
33bProvider typePediatrics Physician
28Total paid$373K
24GClaims14,827
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#71 of 220
Median peer was paid$57K
This provider vs. median6.5×
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 | 5,499 | $151K | |
| 2019 | 6,291 | $147K | |
| 2020 | 1,691 | $34K | |
| 2021 | 428 | $8K | |
| 2022 | 433 | $18K | |
| 2023 | 485 | $16K |
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 | 42% | 3,252 | 2,820 | $155K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 1,017 | 929 | $71K |
| 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 | 17% | 1,012 | 924 | $64K |
| 94760 | 7.5% | 6,006 | 5,264 | $28K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.3% | 1,853 | 1,650 | $20K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.8% | 182 | 166 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.5% | 1,333 | 1,157 | $13K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 69 | 64 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | 26 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 55 | 30 | $580.14 |
| 87807 | <1% | 13 | 13 | $121.00 |
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 officialDARRAH, SHANE (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediakare of Newnan, INC | Newnan, GA | $21K |
| Southeastern Gastroenterology Associates, PC | Columbus, GA | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.