Medicaid Provider Spending

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

SWEETGRASS PEDIATRICS

NPI: 1437168135 · NORTH CHARLESTON, SC 29406 · Pediatrics Physician · NPI assigned 08/05/2006

$37.03M
Total Medicaid Paid
821,023
Total Claims
795,800
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, LAURA (OFFICE MANAGER)
NPI Enumeration Date08/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100,045 $4.11M
2019 95,116 $4.35M
2020 112,123 $5.18M
2021 130,757 $5.76M
2022 131,736 $5.86M
2023 134,992 $6.32M
2024 116,254 $5.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 189,206 181,776 $12.59M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56,800 55,037 $5.35M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 37,274 36,839 $3.70M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 37,481 36,571 $3.50M
90460 Immunization administration through 18 years of age via any route, first or only component 94,047 92,063 $3.00M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 22,710 22,335 $2.21M
90461 32,799 31,886 $1.24M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10,219 9,973 $1.09M
G9153 Mapcp demonstration - physician incentive pool 18,974 18,760 $818K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 11,952 11,560 $571K
90834 Psychotherapy, 45 minutes with patient 6,602 4,430 $418K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25,694 25,099 $339K
99051 28,005 27,260 $318K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9,915 9,693 $262K
96161 33,426 32,828 $241K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,697 9,430 $191K
96127 26,515 25,904 $177K
99460 1,542 1,475 $135K
99239 Hospital discharge day management, more than 30 minutes 1,240 1,176 $125K
83655 9,583 9,502 $121K
87428 1,621 1,608 $96K
90791 Psychiatric diagnostic evaluation 648 610 $93K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,948 2,858 $82K
87400 4,053 3,041 $72K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,701 7,596 $55K
85018 20,487 20,204 $49K
99381 333 316 $34K
90651 2,626 2,519 $33K
82465 4,647 4,531 $17K
99462 327 285 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 84 84 $8K
0072A 185 185 $7K
87807 569 561 $7K
0071A 169 167 $7K
90670 14,164 13,885 $5K
90832 Psychotherapy, 30 minutes with patient 110 94 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 399 386 $4K
99383 40 38 $4K
88720 1,016 896 $4K
99188 241 239 $4K
94664 278 277 $3K
90677 3,200 3,152 $3K
81002 1,005 981 $3K
90686 13,454 13,142 $2K
90837 Psychotherapy, 53 minutes with patient 30 26 $2K
90723 11,737 11,468 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 38 38 $1K
90680 8,522 8,325 $1K
96380 64 59 $1K
54150 13 12 $1K
90380 13 13 $1K
87634 16 16 $897.52
90716 2,737 2,720 $500.65
90707 2,559 2,543 $490.26
0001A 16 16 $467.85
81003 132 127 $270.12
90647 11,070 10,832 $268.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg 204 201 $255.67
90633 7,287 7,176 $181.25
82947 42 42 $130.72
90715 807 775 $120.63
90696 889 884 $52.27
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 5,966 5,828 $14.69
90620 198 196 $0.00
90656 773 765 $0.00
99072 21,083 19,705 $0.00
90681 117 116 $0.00
90700 786 777 $0.00
90734 1,772 1,725 $0.00
90648 166 163 $0.00