Physician
Plantation Pediatrics, LLC
Plantation Pediatrics, LLC was paid $8.15M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoPLANTATION PEDIATRICS, LLC
CHARLESTON, SC 29407
CHARLESTON, SC 29407
33aNPI1427415298assigned 01/25/2016
33bProvider typePediatrics Physician
28Total paid$8.15M
24GClaims152,295
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#15 of 471
Median peer was paid$18K
This provider vs. median462×
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 | 17,491 | $721K | |
| 2019 | 17,678 | $793K | |
| 2020 | 20,282 | $1.04M | |
| 2021 | 25,294 | $1.39M | |
| 2022 | 26,507 | $1.50M | |
| 2023 | 24,846 | $1.47M | |
| 2024incomplete | 20,197 | $1.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 26,643 | 25,048 | $2.49M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 29,649 | 28,090 | $1.89M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 9,876 | 9,777 | $978K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 9,344 | 9,180 | $850K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.7% | 24,225 | 23,780 | $789K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 3,466 | 3,395 | $336K |
| 90461 | 1.7% | 7,000 | 6,878 | $138K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 2,682 | 2,563 | $129K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,179 | 1,155 | $128K |
| G9153 | Mapcp demonstration - physician incentive pool | 1.2% | 2,368 | 2,366 | $97K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,178 | 2,725 | $66K |
| 92552 | <1% | 3,908 | 3,783 | $38K |
36 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,754 | $34K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 655 | $32K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 747 | $28K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 210 | $27K |
| 96127 | <1% | 3,950 | $26K | |
| 99460 | <1% | 369 | $20K | |
| 85018 | <1% | 3,771 | $9K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 192 | $9K |
| 87428 | <1% | 146 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 938 | $7K |
| 83655 | <1% | 455 | $6K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 42 | $4K |
| 96161 | <1% | 448 | $4K | |
| 87807 | <1% | 266 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 48 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 99177 | <1% | 347 | $1K | |
| 90677 | <1% | 579 | $290.28 | |
| 90686 | <1% | 3,856 | $17.81 | |
| 90661 | <1% | 86 | $10.54 | |
| 94760 | <1% | 13 | $7.51 | |
| 90647 | <1% | 862 | $0.14 | |
| 90723 | <1% | 1,003 | $0.08 | |
| 90685 | <1% | 54 | $0.04 | |
| 90680 | <1% | 634 | $0.03 | |
| 90670 | <1% | 1,955 | $0.01 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 957 | $0.00 |
| 90698 | 0% | 62 | $0.00 | |
| 90674 | 0% | 77 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 1,015 | $0.00 |
| 90649 | 0% | 16 | $0.00 | |
| 99173 | 0% | 13 | $0.00 | |
| 90633 | 0% | 161 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90672 | 0% | 13 | $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 officialRADABAUGH, ERIC (CFO)
| Provider | Location | Paid |
|---|---|---|
| Plantation Family Dentalcare | Charleston, SC | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.