Medicaid Provider Spending

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

SOUTHSIDE PEDIATRICS, P.C.

NPI: 1366525040 · FARMVILLE, VA 23901 · Legal Medicine · NPI assigned 10/24/2006

$1.32M
Total Medicaid Paid
34,575
Total Claims
32,040
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDIONISIO, TERESITA (OWNER)
NPI Enumeration Date10/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,122 $75K
2019 7,224 $271K
2020 5,282 $204K
2021 5,438 $215K
2022 5,189 $203K
2023 5,556 $210K
2024 3,764 $140K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,087 9,523 $670K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,328 1,317 $105K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,299 1,279 $104K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,168 1,163 $101K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,150 1,111 $101K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 935 861 $70K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,317 844 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,481 1,438 $20K
90670 602 587 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 661 654 $11K
90837 Psychotherapy, 53 minutes with patient 142 87 $11K
90686 872 857 $11K
96127 1,920 1,871 $10K
99173 3,318 3,288 $8K
90688 542 537 $7K
90734 231 231 $6K
90698 342 334 $6K
90651 192 189 $5K
36415 Collection of venous blood by venipuncture 1,682 1,632 $5K
81002 1,567 1,532 $5K
85018 1,415 1,407 $3K
90648 275 270 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69 67 $2K
90716 109 109 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 60 60 $2K
90656 114 110 $2K
90707 100 100 $2K
90715 85 82 $1K
90723 100 98 $1K
90620 26 26 $1K
90680 70 67 $1K
90633 80 80 $1K
90685 67 66 $813.66
90677 29 27 $740.09
90460 Immunization administration through 18 years of age via any route, first or only component 48 46 $583.10
90744 37 37 $482.95
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 29 $243.55
90696 12 12 $136.40
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $99.62