Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PLANTATION PEDIATRICS, LLC

NPI: 1427415298 · CHARLESTON, SC 29407 · Pediatrics Physician · NPI assigned 01/25/2016

$8.15M
Total Medicaid Paid
152,295
Total Claims
144,968
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRADABAUGH, ERIC (CFO)
NPI Enumeration Date01/25/2016

Related Entities

Other providers sharing the same authorized official: RADABAUGH, ERIC

ProviderCityStateTotal Paid
PLANTATION FAMILY DENTALCARE CHARLESTON SC $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 20,197 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,643 25,048 $2.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,649 28,090 $1.89M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,876 9,777 $978K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,344 9,180 $850K
90460 Immunization administration through 18 years of age via any route, first or only component 24,225 23,780 $789K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,466 3,395 $336K
90461 7,000 6,878 $138K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,682 2,563 $129K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,179 1,155 $128K
G9153 Mapcp demonstration - physician incentive pool 2,368 2,366 $97K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,178 2,725 $66K
92552 3,908 3,783 $38K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,754 2,663 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 655 620 $32K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 747 723 $28K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 210 202 $27K
96127 3,950 3,869 $26K
99460 369 365 $20K
85018 3,771 3,706 $9K
99238 Hospital discharge day management, 30 minutes or less 192 185 $9K
87428 146 142 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 938 928 $7K
83655 455 451 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 42 42 $4K
96161 448 447 $4K
87807 266 257 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58 53 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 48 48 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
99177 347 344 $1K
90677 579 572 $290.28
90686 3,856 3,812 $17.81
90661 86 86 $10.54
94760 13 13 $7.51
90647 862 840 $0.14
90723 1,003 975 $0.08
90685 54 53 $0.04
90680 634 616 $0.03
90670 1,955 1,910 $0.01
S9451 Exercise classes, non-physician provider, per session 957 946 $0.00
90698 62 61 $0.00
90674 77 74 $0.00
S9452 Nutrition classes, non-physician provider, per session 1,015 1,002 $0.00
90649 16 14 $0.00
99173 13 13 $0.00
90633 161 159 $0.00
90734 12 12 $0.00
90672 13 12 $0.00