SOUTH COUNTY PEDIATRIC GROUP, INC.
NPI: 1417033986
· WAKEFIELD, RI 02879
· Pediatrics Physician
· NPI assigned 10/27/2006
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | CHRONLEY, DAVID (PRESIDENT) |
| NPI Enumeration Date | 10/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
843 |
$37K |
| 2019 |
1,689 |
$71K |
| 2020 |
305 |
$11K |
| 2021 |
228 |
$9K |
| 2022 |
196 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,477 |
2,225 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
508 |
466 |
$8K |
| 92552 |
|
90 |
90 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90461 |
|
44 |
44 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$369.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$150.63 |
| 81002 |
|
38 |
38 |
$88.54 |
| 81005 |
|
43 |
43 |
$84.50 |