Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SEASIDE PEDIATRICS, PA

NPI: 1326105255 · MT PLEASANT, SC 29464 · Pediatrics Physician · NPI assigned 01/02/2007

$7K
Total Medicaid Paid
296
Total Claims
284
Beneficiaries
4
Codes Billed
2018-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOBB, TAMMY (OFFICE MANAGER)
NPI Enumeration Date01/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56 $663.79
2019 100 $2K
2020 73 $702.38
2021 27 $2K
2022 27 $1K
2023 13 $262.68

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57 53 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 158 154 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 13 $1K
90686 66 64 $0.00