South County Pediatric Group, INC.

South County Pediatric Group, INC. was paid $138K by Medicaid between Jan 2018 and Aug 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoSOUTH COUNTY PEDIATRIC GROUP, INC.
WAKEFIELD, RI 02879

33aNPI1417033986assigned 10/27/2006

33bProvider typePediatrics Physician

28Total paid$138K

24GClaims3,261

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#127 of 265

Median peer was paid$133K

This provider vs. median1.0×

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	843	$37K
2019	1,689	$71K
2020	305	$11K
2021	228	$9K
2022	196	$11K

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	91%	2,477	2,225	$126K
90460	Immunization administration through 18 years of age via any route, first or only component	5.6%	508	466	$8K
92552		1.1%	90	90	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	13	13	$1K
90461		<1%	44	44	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	34	16	$369.92
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	14	$150.63
81002		<1%	38	38	$88.54
81005		<1%	43	43	$84.50

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 officialCHRONLEY, DAVID (PRESIDENT)