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

Pelican Pediatrics LLC

Pelican Pediatrics LLC was paid $3.47M by Medicaid between Jan 2018 and Nov 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoPELICAN PEDIATRICS LLC
CHARLESTON, SC 29412
33aNPI1306259544assigned 06/05/2014
33bProvider typePediatrics Physician
28Total paid$3.47M
24GClaims99,004
24DCodes billed68
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#34 of 471
Median peer was paid$18K
This provider vs. median197×

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$25K$50K$75K2018201920202021202220232024
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
201812,063$357K
201910,921$368K
202013,303$444K
202117,842$643K
202216,978$625K
202315,996$600K
2024incomplete11,901$435K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 12,678 11,930 $828K
90460 Immunization administration through 18 years of age via any route, first or only component 12% 12,697 11,812 $424K
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 12% 4,311 4,088 $417K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.5% 3,551 3,237 $331K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.0% 3,133 3,120 $311K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.1% 2,186 2,176 $211K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.3% 1,398 1,393 $150K
99188 3.7% 8,212 8,170 $129K
G9153 Mapcp demonstration - physician incentive pool 2.6% 1,877 1,842 $90K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.6% 634 620 $89K
96160 2.2% 9,228 8,172 $75K
90461 2.1% 2,708 2,580 $74K
56 more codes
87428 1.8% 1,024 $64K
96127 1.8% 7,608 $61K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.2% 5,731 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.0% 882 $36K
96161 <1% 2,621 $20K
99177 <1% 2,860 $12K
0001A <1% 212 $8K
0002A <1% 191 $8K
90480 <1% 200 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 265 $7K
91321 <1% 86 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 498 $7K
85018 <1% 2,893 $7K
0071A <1% 157 $6K
69210 <1% 202 $6K
83655 <1% 414 $5K
0072A <1% 126 $5K
99401 <1% 147 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 201 $4K
99051 <1% 284 $3K
90671 <1% 353 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 45 $2K
94664 <1% 223 $2K
0004A <1% 51 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 85 $2K
91322 <1% 12 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 33 $2K
90686 <1% 3,762 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 13 $1K
0124A <1% 29 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 90 $1K
0011A <1% 21 $840.00
90672 <1% 529 $828.81
80061 Lipid panel <1% 66 $760.98
0012A <1% 18 $720.00
0164A <1% 18 $682.00
99070 <1% 106 $681.43
90651 <1% 184 $448.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 31 $407.40
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source <1% 12 $357.18
96380 <1% 13 $217.37
90715 <1% 78 $41.36
90660 <1% 58 $25.04
90656 <1% 66 $19.46
94761 <1% 15 $3.43
91300 <1% 50 $0.50
90723 <1% 916 $0.18
90647 <1% 880 $0.14
90633 <1% 450 $0.09
90670 <1% 1,139 $0.04
90734 <1% 129 $0.02
90681 0% 129 $0.00
99173 0% 38 $0.00
99072 0% 18 $0.00
90680 0% 88 $0.00
36416 0% 41 $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 officialVARADI, ELIZA (PEDIATRICIAN)