Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Indian Land Pediatrics, LLC

Indian Land Pediatrics, LLC was paid $86K by Medicaid between Jan 2018 and Apr 2019, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoINDIAN LAND PEDIATRICS, LLC
FORT MILL, SC 29707
33aNPI1306118583assigned 02/02/2012
33bProvider typePediatrics Physician
28Total paid$86K
24GClaims2,255
24DCodes billed16
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#106 of 471
Median peer was paid$18K
This provider vs. median4.9×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,967$71K
2019288$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 50% 499 473 $43K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 264 254 $15K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 9.3% 105 98 $8K
90460 Immunization administration through 18 years of age via any route, first or only component 6.5% 323 310 $6K
90461 3.4% 128 125 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.4% 360 342 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.7% 27 26 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.8% 17 17 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.3% 14 14 $1K
92551 1.3% 201 188 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 28 28 $560.00
81002 <1% 184 170 $528.52
4 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 28 $369.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 26 $328.08
G9153 Mapcp demonstration - physician incentive pool <1% 13 $240.00
90686 0% 38 $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 officialCARTER, LUCRETIA (OWNER)