Physician
Tiffany, John
Tiffany, John was paid $59K by Medicaid between Jul 2019 and Jul 2020, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoTIFFANY, JOHN
AIKEN, SC 29803
AIKEN, SC 29803
33aNPI1386616084assigned 02/06/2006
33bProvider typePediatrics Physician
28Total paid$59K
24GClaims1,589
24DCodes billed16
24AFirst – last monthJul 2019 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#130 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 | 1,128 | $45K | |
| 2020 | 461 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 202 | 192 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 231 | 214 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 60 | 60 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 51 | 51 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 31 | 31 | $3K |
| 90461 | 2.9% | 83 | 83 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 129 | 129 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 214 | 214 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.8% | 14 | 13 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 29 | 28 | $870.54 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 99 | 99 | $725.22 |
| 80061 | Lipid panel | <1% | 37 | 37 | $429.57 |
4 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.