Physician
Central Georgia Pediatrics, INC.
Central Georgia Pediatrics, INC. was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoCENTRAL GEORGIA PEDIATRICS, INC.
MACON, GA 31201
MACON, GA 31201
33aNPI1386912319assigned 12/05/2011
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.55M
24GClaims45,938
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Georgia
Rank by total paid#7 of 15
Median peer was paid$1.14M
This provider vs. median1.4×
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 | 7,145 | $274K | |
| 2019 | 7,072 | $242K | |
| 2020 | 6,813 | $173K | |
| 2021 | 6,830 | $199K | |
| 2022 | 7,355 | $259K | |
| 2023 | 6,994 | $254K | |
| 2024incomplete | 3,729 | $153K |
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 | 18% | 4,518 | 4,314 | $287K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 6,705 | 6,390 | $284K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 2,349 | 2,329 | $222K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,288 | 2,148 | $198K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,117 | 1,846 | $169K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,728 | 1,691 | $167K |
| 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 | 9.6% | 1,559 | 1,514 | $149K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 1,473 | 1,423 | $52K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,092 | 996 | $11K |
| 97802 | <1% | 3,503 | 3,351 | $6K | |
| 96160 | <1% | 2,120 | 2,048 | $6K | |
| 96161 | <1% | 378 | 346 | $967.91 |
24 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 5,398 | $710.40 |
| 99429 | <1% | 80 | $130.00 | |
| 90633 | <1% | 559 | $106.79 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 74 | $96.75 |
| 90670 | <1% | 1,332 | $83.68 | |
| 96127 | <1% | 13 | $54.00 | |
| 90647 | 0% | 1,499 | $0.00 | |
| 90656 | 0% | 486 | $0.00 | |
| 90651 | 0% | 548 | $0.00 | |
| 90680 | 0% | 635 | $0.00 | |
| 90723 | 0% | 345 | $0.00 | |
| 90620 | 0% | 556 | $0.00 | |
| 90716 | 0% | 63 | $0.00 | |
| 90688 | 0% | 1,035 | $0.00 | |
| 90696 | 0% | 128 | $0.00 | |
| 90715 | 0% | 616 | $0.00 | |
| 90710 | 0% | 219 | $0.00 | |
| 90700 | 0% | 281 | $0.00 | |
| 90734 | 0% | 692 | $0.00 | |
| 90649 | 0% | 1,053 | $0.00 | |
| 90671 | 0% | 227 | $0.00 | |
| 90655 | 0% | 180 | $0.00 | |
| 90707 | 0% | 61 | $0.00 | |
| 90713 | 0% | 28 | $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 officialOKORO, SUSAN (OFFICE MANAGER)