Medical Park Pediatrics & Adolescence
Medical Park Pediatrics & Adolescence was paid $903K by Medicaid between Jan 2018 and Dec 2020, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoMEDICAL PARK PEDIATRICS & ADOLESCENCE
COLUMBIA, SC 29223
COLUMBIA, SC 29223
33aNPI1326107863assigned 12/08/2006
33bProvider typeSpecialist
28Total paid$903K
24GClaims29,429
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#13 of 89
Median peer was paid$41K
This provider vs. median22×
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 | 11,428 | $337K | |
| 2019 | 9,766 | $296K | |
| 2020 | 8,235 | $270K |
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 | 34% | 3,534 | 3,301 | $310K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 3,861 | 3,663 | $212K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 740 | 654 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 667 | 646 | $58K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 3,333 | 3,186 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 620 | 597 | $54K |
| 90461 | 3.5% | 1,547 | 1,432 | $31K | |
| 96127 | 3.0% | 3,882 | 3,703 | $27K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.2% | 2,564 | 2,434 | $20K |
| 96160 | 2.0% | 2,312 | 2,165 | $18K | |
| 87400 | 2.0% | 1,445 | 717 | $18K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 182 | 174 | $17K |
18 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 515 | $7K |
| 99188 | <1% | 283 | $5K | |
| 81002 | <1% | 1,495 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 217 | $4K |
| 81000 | <1% | 609 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 21 | $996.96 |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 29 | $840.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 126 | $291.00 |
| 99050 | <1% | 12 | $121.92 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $87.12 |
| 90648 | 0% | 45 | $0.00 | |
| 90670 | 0% | 156 | $0.00 | |
| 90633 | 0% | 119 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90686 | 0% | 933 | $0.00 | |
| 90647 | 0% | 45 | $0.00 | |
| 90688 | 0% | 85 | $0.00 | |
| 90723 | 0% | 25 | $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 officialCLAYTOR, SUSAN (M.D., CEO)