Physician
Tri-County Pediatrics LLC
Tri-County Pediatrics LLC was paid $13.82M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoTRI-COUNTY PEDIATRICS LLC
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1366403792assigned 03/28/2006
33bProvider typePediatrics Physician
28Total paid$13.82M
24GClaims317,701
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#7 of 471
Median peer was paid$18K
This provider vs. median783×
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 | 43,475 | $1.54M | |
| 2019 | 32,507 | $1.35M | |
| 2020 | 35,074 | $1.45M | |
| 2021 | 51,485 | $2.17M | |
| 2022 | 55,563 | $2.56M | |
| 2023 | 54,083 | $2.52M | |
| 2024incomplete | 45,514 | $2.23M |
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 | 51% | 103,297 | 92,815 | $7.10M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 8,630 | 8,488 | $873K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 26,142 | 25,468 | $826K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 7,385 | 7,279 | $819K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 7,980 | 7,856 | $809K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 8,020 | 7,609 | $759K |
| 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 | 4.6% | 6,327 | 6,118 | $637K |
| G9153 | Mapcp demonstration - physician incentive pool | 3.5% | 9,533 | 9,334 | $481K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 10,041 | 8,265 | $248K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 16,778 | 16,218 | $244K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 5,835 | 5,675 | $235K |
| 90461 | 1.1% | 8,170 | 7,900 | $150K |
48 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 17,941 | $131K |
| 87428 | <1% | 2,332 | $112K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 3,513 | $89K |
| 96127 | <1% | 12,393 | $88K | |
| 99381 | <1% | 566 | $58K | |
| 99188 | <1% | 1,801 | $29K | |
| 83655 | <1% | 1,815 | $23K | |
| 99050 | <1% | 1,733 | $20K | |
| 85018 | <1% | 7,467 | $18K | |
| 99383 | <1% | 104 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 305 | $11K |
| 87807 | <1% | 585 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 70 | $6K |
| 81003 | <1% | 2,637 | $6K | |
| 83718 | <1% | 817 | $6K | |
| 82465 | <1% | 1,238 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 230 | $5K |
| 81025 | <1% | 470 | $3K | |
| 99442 | <1% | 71 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 49 | $2K |
| 99384 | <1% | 13 | $2K | |
| 87899 | <1% | 117 | $2K | |
| 0071A | <1% | 35 | $1K | |
| 90651 | <1% | 2,940 | $827.23 | |
| 99443 | <1% | 12 | $501.95 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 13 | $330.98 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $144.88 |
| 86308 | <1% | 14 | $43.08 | |
| 90686 | <1% | 2,779 | $1.91 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 16,329 | $0.01 |
| 90680 | 0% | 1,717 | $0.00 | |
| 90647 | 0% | 3,060 | $0.00 | |
| 90677 | 0% | 327 | $0.00 | |
| 90716 | 0% | 202 | $0.00 | |
| 90723 | 0% | 2,911 | $0.00 | |
| 90620 | 0% | 452 | $0.00 | |
| 90696 | 0% | 383 | $0.00 | |
| 91307 | 0% | 42 | $0.00 | |
| 90656 | 0% | 305 | $0.00 | |
| 90734 | 0% | 2,242 | $0.00 | |
| 90633 | 0% | 3,360 | $0.00 | |
| 90670 | 0% | 3,658 | $0.00 | |
| 90715 | 0% | 1,266 | $0.00 | |
| 90710 | 0% | 406 | $0.00 | |
| 90671 | 0% | 292 | $0.00 | |
| 90700 | 0% | 253 | $0.00 | |
| 90681 | 0% | 80 | $0.00 | |
| 90707 | 0% | 179 | $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 officialSHAH, GAURANG (MANAGING PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Tri-County Pediatrics LLC | York, SC | $1.78M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.