Agc Pediatrics, LLC
Agc Pediatrics, LLC was paid $2.00M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoAGC PEDIATRICS, LLC
CALHOUN, GA 30701
CALHOUN, GA 30701
33aNPI1356475214assigned 03/15/2007
33bProvider typeSpecialist
28Total paid$2.00M
24GClaims46,864
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Georgia
Rank by total paid#7 of 52
Median peer was paid$46K
This provider vs. median43×
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 | 896 | $45K | |
| 2019 | 6,772 | $274K | |
| 2020 | 4,193 | $177K | |
| 2021 | 4,826 | $196K | |
| 2022 | 5,395 | $236K | |
| 2023 | 15,381 | $641K | |
| 2024incomplete | 9,401 | $429K |
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 | 35% | 11,284 | 10,245 | $702K |
| 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 | 11% | 2,279 | 2,150 | $214K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.8% | 2,104 | 1,884 | $196K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 3,579 | 3,457 | $156K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 1,537 | 1,505 | $145K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 1,525 | 1,472 | $143K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 888 | 868 | $92K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 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 | 2.8% | 1,190 | 1,163 | $56K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 3,511 | 3,342 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 3,040 | 1,581 | $42K |
| 99401 | 1.5% | 1,135 | 1,098 | $30K |
42 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 243 | $16K |
| 99460 | <1% | 188 | $15K | |
| 80061 | Lipid panel | <1% | 827 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,173 | $12K |
| 96127 | <1% | 1,329 | $11K | |
| 99188 | <1% | 450 | $8K | |
| 92551 | <1% | 1,241 | $7K | |
| 90461 | <1% | 216 | $7K | |
| 96161 | <1% | 1,397 | $4K | |
| 99429 | <1% | 162 | $3K | |
| 87807 | <1% | 122 | $2K | |
| 83655 | <1% | 178 | $2K | |
| 99462 | <1% | 31 | $1K | |
| 94726 | <1% | 25 | $1K | |
| 99177 | <1% | 75 | $337.50 | |
| 85018 | <1% | 106 | $319.42 | |
| 90677 | <1% | 77 | $318.23 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $258.02 |
| 90621 | <1% | 59 | $175.00 | |
| 96160 | <1% | 13 | $54.15 | |
| 97802 | <1% | 216 | $53.36 | |
| 81005 | <1% | 14 | $33.85 | |
| 36416 | 0% | 1,287 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,499 | $0.00 |
| 90680 | 0% | 233 | $0.00 | |
| 90619 | 0% | 116 | $0.00 | |
| 90744 | 0% | 94 | $0.00 | |
| 90698 | 0% | 215 | $0.00 | |
| 90697 | 0% | 102 | $0.00 | |
| 90686 | 0% | 170 | $0.00 | |
| 90651 | 0% | 185 | $0.00 | |
| 90688 | 0% | 76 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90670 | 0% | 513 | $0.00 | |
| 90685 | 0% | 27 | $0.00 | |
| 90710 | 0% | 57 | $0.00 | |
| 90633 | 0% | 128 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | 0% | 14 | $0.00 |
| 90707 | 0% | 12 | $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 officialJOYAVE, JOSEPH (OWNER)