Physician
Valcourt Pediatric Associates
Valcourt Pediatric Associates was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoVALCOURT PEDIATRIC ASSOCIATES
WALTERBORO, SC 29488
WALTERBORO, SC 29488
33aNPI1396012126assigned 11/22/2011
33bProvider typePediatrics Physician
28Total paid$1.33M
24GClaims33,559
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#51 of 471
Median peer was paid$18K
This provider vs. median76×
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 | 13,979 | $448K | |
| 2019 | 3,468 | $117K | |
| 2020 | 118 | $2K | |
| 2021 | 357 | $8K | |
| 2022 | 1,566 | $82K | |
| 2023 | 7,103 | $354K | |
| 2024incomplete | 6,968 | $324K |
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 | 28% | 5,572 | 4,971 | $373K |
| 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 | 19% | 2,525 | 2,380 | $248K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 1,215 | 1,197 | $119K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 3,694 | 3,610 | $118K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 1,075 | 1,066 | $106K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 1,050 | 1,031 | $94K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.3% | 789 | 778 | $84K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 989 | 956 | $37K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 206 | 205 | $21K |
| 90461 | 1.5% | 981 | 959 | $20K | |
| G9153 | Mapcp demonstration - physician incentive pool | 1.3% | 392 | 388 | $17K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 2,125 | 2,102 | $16K |
35 more codes
| 99384 | <1% | 101 | $13K | |
| 83655 | <1% | 690 | $10K | |
| 96127 | <1% | 1,238 | $8K | |
| 99383 | <1% | 74 | $8K | |
| 99381 | <1% | 83 | $8K | |
| 85018 | <1% | 2,685 | $7K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 813 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 205 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 336 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $2K |
| 81002 | <1% | 495 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $996.05 |
| 96160 | <1% | 181 | $920.19 | |
| 99050 | <1% | 70 | $758.40 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $149.16 |
| 92551 | <1% | 2,960 | $116.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 16 | $39.88 |
| 90677 | <1% | 135 | $0.44 | |
| 90655 | <1% | 164 | $0.30 | |
| 90670 | <1% | 350 | $0.07 | |
| 90680 | <1% | 135 | $0.06 | |
| 90715 | <1% | 31 | $0.05 | |
| 90700 | <1% | 17 | $0.04 | |
| 90647 | <1% | 12 | $0.03 | |
| 90674 | <1% | 73 | $0.02 | |
| 90698 | <1% | 207 | $0.01 | |
| 90656 | <1% | 314 | $0.01 | |
| 90734 | 0% | 88 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 352 | $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) | 0% | 220 | $0.00 |
| 99173 | 0% | 599 | $0.00 | |
| 90649 | 0% | 49 | $0.00 | |
| 90633 | 0% | 27 | $0.00 | |
| 90744 | 0% | 102 | $0.00 | |
| 90634 | 0% | 38 | $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 officialHART, LISA (PRACTICE ADMINSTRATOR)