Clinic
Northside Children's Pediatric Center, LLC
Northside Children's Pediatric Center, LLC was paid $1.55M by Medicaid between Jan 2018 and Aug 2021, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoNORTHSIDE CHILDREN'S PEDIATRIC CENTER, LLC
CANTON, GA 30114
CANTON, GA 30114
33aNPI1396945515assigned 07/25/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.55M
24GClaims50,950
24DCodes billed44
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Primary Care Clinic/Center providers in Georgia
Rank by total paid#4 of 17
Median peer was paid$285K
This provider vs. median5.4×
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 | 12,728 | $437K | |
| 2019 | 15,820 | $515K | |
| 2020 | 15,493 | $404K | |
| 2021 | 6,909 | $192K |
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 | 43% | 10,986 | 9,526 | $659K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 3,839 | 3,538 | $187K |
| 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 | 12% | 1,941 | 1,789 | $183K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 1,863 | 1,619 | $150K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 1,643 | 1,526 | $146K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 938 | 900 | $87K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 238 | 233 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 702 | 655 | $25K |
| 96160 | 1.3% | 4,754 | 3,703 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,142 | 1,070 | $17K |
| 99381 | <1% | 108 | 99 | $10K | |
| 96161 | <1% | 3,171 | 2,889 | $9K |
32 more codes
| 90461 | <1% | 1,824 | $6K | |
| 92081 | <1% | 315 | $5K | |
| 92551 | <1% | 1,846 | $5K | |
| 96127 | <1% | 933 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 299 | $3K |
| 99173 | <1% | 1,838 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 87 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 23 | $934.43 |
| 90670 | <1% | 1,094 | $727.72 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $480.90 |
| 92552 | <1% | 160 | $397.26 | |
| 83655 | <1% | 40 | $125.25 | |
| 90716 | <1% | 272 | $122.02 | |
| 90672 | <1% | 20 | $72.57 | |
| 90707 | <1% | 294 | $70.92 | |
| 99429 | <1% | 13 | $70.00 | |
| 90633 | <1% | 398 | $30.00 | |
| 90688 | <1% | 333 | $16.06 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | $2.91 |
| 5250F | <1% | 267 | $0.08 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 6,594 | $0.00 |
| 90680 | 0% | 545 | $0.00 | |
| 90651 | 0% | 90 | $0.00 | |
| 90723 | 0% | 515 | $0.00 | |
| 90686 | 0% | 314 | $0.00 | |
| 90656 | 0% | 26 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90648 | 0% | 1,066 | $0.00 | |
| 90734 | 0% | 19 | $0.00 | |
| 90700 | 0% | 256 | $0.00 | |
| 90713 | 0% | 62 | $0.00 | |
| 90685 | 0% | 27 | $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 officialANDERSON, STEPHANIE (RN-PNP, MEMBER, AND (SPOUSE OF MD))
| Provider | Location | Paid |
|---|---|---|
| Hometown Chiropractic LLC | Terre Haute, IN | $177K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.