Physician
Baldridge, Paul
Baldridge, Paul was paid $59K by Medicaid between Jul 2019 and Aug 2020, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoBALDRIDGE, PAUL
MYRTLE BEACH, SC 29572
MYRTLE BEACH, SC 29572
33aNPI1356306427assigned 04/20/2006
33bProvider typePediatrics Physician
28Total paid$59K
24GClaims1,103
24DCodes billed17
24AFirst – last monthJul 2019 – Aug 2020
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#129 of 471
Median peer was paid$18K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2019 | 1,069 | $57K | |
| 2020 | 34 | $1K |
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 | 36% | 276 | 239 | $21K |
| 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 | 15% | 81 | 79 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 56 | 56 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 47 | 47 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 126 | 125 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.5% | 31 | 31 | $4K |
| 90461 | 6.1% | 78 | 78 | $4K | |
| 97802 | 4.5% | 94 | 94 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 14 | 14 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 60 | 58 | $836.62 |
| 96127 | <1% | 35 | 35 | $289.34 | |
| 99051 | <1% | 14 | 14 | $171.60 |
5 more codes
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.