Medicaid Provider Spending

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

MOUNT PLEASANT PEDIATRICS, P.A.

NPI: 1386751337 · MOUNT PLEASANT, SC 29464 · Preferred Provider Organization · NPI assigned 08/24/2006

$2K
Total Medicaid Paid
102
Total Claims
87
Beneficiaries
3
Codes Billed
2018-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialPOWELL, SANDRA (PRESIDENT)
NPI Enumeration Date08/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $310.19
2019 13 $645.00
2020 52 $530.72
2022 13 $383.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 65 57 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $645.00
90686 24 18 $0.00