Managed care
Mount Pleasant Pediatrics, P.A.
Mount Pleasant Pediatrics, P.A. was paid $2K by Medicaid between Oct 2018 and Oct 2022, across 3 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 65% of everything it billed.
33Billing provider infoMOUNT PLEASANT PEDIATRICS, P.A.
MOUNT PLEASANT, SC 29464
MOUNT PLEASANT, SC 29464
33aNPI1386751337assigned 08/24/2006
33bProvider typePreferred Provider Organization
28Total paid$2K
24GClaims102
24DCodes billed3
24AFirst – last monthOct 2018 – Oct 2022
Compared with peers
Next to other Preferred Provider Organization providers in South Carolina
Rank by total paid#7 of 7
Median peer was paid$452K
This provider vs. median0.0×
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 | 24 | $310.19 | |
| 2019 | 13 | $645.00 | |
| 2020 | 52 | $530.72 | |
| 2022 | 13 | $383.04 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 65% | 65 | 57 | $1K |
| 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% | 13 | 12 | $645.00 |
| 90686 | 0% | 24 | 18 | $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 officialPOWELL, SANDRA (PRESIDENT)