Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Goose Creek › NPI 1396714374
Physician

Pogue, Zoe

Pogue, Zoe was paid $22K by Medicaid between Jul 2019 and Oct 2019, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoPOGUE, ZOE
GOOSE CREEK, SC 29445
33aNPI1396714374assigned 03/14/2006
33bProvider typePediatrics Physician
28Total paid$22K
24GClaims627
24DCodes billed15
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#207 of 471
Median peer was paid$18K
This provider vs. median1.3×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2019627$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 132 123 $9K
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 27% 59 59 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 24 24 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.1% 12 12 $1K
97802 5.3% 56 56 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 3.2% 56 55 $706.16
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2.4% 39 39 $533.10
90461 1.5% 15 15 $340.47
85018 <1% 84 84 $172.20
96160 <1% 19 18 $154.66
80061 Lipid panel <1% 12 12 $139.32
96127 <1% 12 12 $85.32
3 more codes
99177 <1% 14 $29.40
92551 <1% 64 $15.22
94760 0% 29 $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.