Medicaid Provider Spending

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

VALCOURT PEDIATRIC ASSOCIATES

NPI: 1396012126 · WALTERBORO, SC 29488 · Pediatrics Physician · NPI assigned 11/22/2011

$1.33M
Total Medicaid Paid
33,559
Total Claims
32,296
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHART, LISA (PRACTICE ADMINSTRATOR)
NPI Enumeration Date11/22/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,979 $448K
2019 3,468 $117K
2020 118 $2K
2021 357 $8K
2022 1,566 $82K
2023 7,103 $354K
2024 6,968 $324K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,572 4,971 $373K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,525 2,380 $248K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,215 1,197 $119K
90460 Immunization administration through 18 years of age via any route, first or only component 3,694 3,610 $118K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,075 1,066 $106K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,050 1,031 $94K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 789 778 $84K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 989 956 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 206 205 $21K
90461 981 959 $20K
G9153 Mapcp demonstration - physician incentive pool 392 388 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,125 2,102 $16K
99384 101 100 $13K
83655 690 679 $10K
96127 1,238 1,219 $8K
99383 74 71 $8K
99381 83 81 $8K
85018 2,685 2,632 $7K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 813 812 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 205 199 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 336 327 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $2K
81002 495 479 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 55 54 $996.05
96160 181 181 $920.19
99050 70 68 $758.40
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 13 $149.16
92551 2,960 2,869 $116.16
36415 Collection of venous blood by venipuncture 16 16 $39.88
90677 135 133 $0.44
90655 164 162 $0.30
90670 350 346 $0.07
90680 135 134 $0.06
90715 31 31 $0.05
90700 17 17 $0.04
90647 12 12 $0.03
90674 73 66 $0.02
90698 207 207 $0.01
90656 314 306 $0.01
90734 88 86 $0.00
G8482 Influenza immunization administered or previously received 352 323 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 220 211 $0.00
99173 599 590 $0.00
90649 49 49 $0.00
90633 27 27 $0.00
90744 102 102 $0.00
90634 38 35 $0.00