Clinic
Jefferson Pediatrics, INC.
Jefferson Pediatrics, INC. was paid $782K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoJEFFERSON PEDIATRICS, INC.
JEFFERSON, GA 30549
JEFFERSON, GA 30549
33aNPI1336411347assigned 02/07/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$782K
24GClaims25,899
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Georgia
Rank by total paid#5 of 17
Median peer was paid$285K
This provider vs. median2.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, TAMMY controls 20+ related entities in our dataset. Read more
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 | 3,667 | $118K | |
| 2019 | 4,441 | $129K | |
| 2020 | 4,686 | $125K | |
| 2021 | 4,003 | $133K | |
| 2022 | 4,123 | $133K | |
| 2023 | 2,997 | $90K | |
| 2024incomplete | 1,982 | $55K |
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 | 47% | 5,473 | 4,615 | $365K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,289 | 1,205 | $124K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 2,595 | 2,396 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,005 | 950 | $93K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 3,062 | 2,876 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 137 | 131 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 745 | 692 | $11K |
| G0306 | Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count | 1.1% | 1,424 | 1,324 | $8K |
| 90461 | <1% | 1,527 | 1,418 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 362 | 323 | $5K |
| 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 | <1% | 44 | 43 | $5K |
| 81002 | <1% | 1,203 | 1,149 | $4K |
13 more codes
| 36416 | <1% | 2,519 | $3K | |
| 92551 | <1% | 802 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 183 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $217.34 |
| 97802 | <1% | 1,576 | $39.89 | |
| 90670 | 0% | 652 | $0.00 | |
| 83655 | 0% | 14 | $0.00 | |
| 90680 | 0% | 195 | $0.00 | |
| 90698 | 0% | 613 | $0.00 | |
| 90686 | 0% | 339 | $0.00 | |
| 90744 | 0% | 101 | $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 officialSMITH, TAMMY (OFFICER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.