Medicaid Provider Spending

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

AGC PEDIATRICS, LLC

NPI: 1356475214 · CALHOUN, GA 30701 · Specialist · NPI assigned 03/15/2007

$2.00M
Total Medicaid Paid
46,864
Total Claims
42,932
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOYAVE, JOSEPH (OWNER)
NPI Enumeration Date03/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 896 $45K
2019 6,772 $274K
2020 4,193 $177K
2021 4,826 $196K
2022 5,395 $236K
2023 15,381 $641K
2024 9,401 $429K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,284 10,245 $702K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,279 2,150 $214K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,104 1,884 $196K
90460 Immunization administration through 18 years of age via any route, first or only component 3,579 3,457 $156K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,537 1,505 $145K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,525 1,472 $143K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 888 868 $92K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,852 1,764 $72K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,190 1,163 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,511 3,342 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,040 1,581 $42K
99401 1,135 1,098 $30K
99238 Hospital discharge day management, 30 minutes or less 243 224 $16K
99460 188 176 $15K
80061 Lipid panel 827 783 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,173 1,120 $12K
96127 1,329 1,288 $11K
99188 450 441 $8K
92551 1,241 1,209 $7K
90461 216 214 $7K
96161 1,397 1,237 $4K
99429 162 141 $3K
87807 122 122 $2K
83655 178 172 $2K
99462 31 28 $1K
94726 25 24 $1K
99177 75 65 $337.50
85018 106 103 $319.42
90677 77 77 $318.23
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19 14 $258.02
90621 59 58 $175.00
96160 13 13 $54.15
97802 216 205 $53.36
81005 14 14 $33.85
36416 1,287 1,232 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,499 1,493 $0.00
90680 233 229 $0.00
90619 116 115 $0.00
90744 94 92 $0.00
90698 215 212 $0.00
90697 102 101 $0.00
90686 170 165 $0.00
90651 185 181 $0.00
90688 76 76 $0.00
90696 14 14 $0.00
90716 12 12 $0.00
90670 513 499 $0.00
90685 27 26 $0.00
90710 57 54 $0.00
90633 128 124 $0.00
90715 12 12 $0.00
90734 13 12 $0.00
A4250 Urine test or reagent strips or tablets (100 tablets or strips) 14 14 $0.00
90707 12 12 $0.00