Physician
Sweetgrass Pediatrics
Sweetgrass Pediatrics was paid $37.03M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSWEETGRASS PEDIATRICS
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
33aNPI1437168135assigned 08/05/2006
33bProvider typePediatrics Physician
28Total paid$37.03M
24GClaims821,023
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#2 of 471
Median peer was paid$18K
This provider vs. median2,098×
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 | 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 | |
| 2024incomplete | 116,254 | $5.45M |
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 | 34% | 189,206 | 181,776 | $12.59M |
| 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 | 14% | 56,800 | 55,037 | $5.35M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 37,274 | 36,839 | $3.70M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.4% | 37,481 | 36,571 | $3.50M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.1% | 94,047 | 92,063 | $3.00M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 22,710 | 22,335 | $2.21M |
| 90461 | 3.3% | 32,799 | 31,886 | $1.24M | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 10,219 | 9,973 | $1.09M |
| G9153 | Mapcp demonstration - physician incentive pool | 2.2% | 18,974 | 18,760 | $818K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 11,952 | 11,560 | $571K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 6,602 | 4,430 | $418K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25,694 | 25,099 | $339K |
58 more codes
| 99051 | <1% | 28,005 | $318K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 9,915 | $262K |
| 96161 | <1% | 33,426 | $241K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 9,697 | $191K |
| 96127 | <1% | 26,515 | $177K | |
| 99460 | <1% | 1,542 | $135K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,240 | $125K |
| 83655 | <1% | 9,583 | $121K | |
| 87428 | <1% | 1,621 | $96K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 648 | $93K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,948 | $82K |
| 87400 | <1% | 4,053 | $72K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,701 | $55K |
| 85018 | <1% | 20,487 | $49K | |
| 99381 | <1% | 333 | $34K | |
| 90651 | <1% | 2,626 | $33K | |
| 82465 | <1% | 4,647 | $17K | |
| 99462 | <1% | 327 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 84 | $8K |
| 0072A | <1% | 185 | $7K | |
| 87807 | <1% | 569 | $7K | |
| 0071A | <1% | 169 | $7K | |
| 90670 | <1% | 14,164 | $5K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 110 | $5K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 399 | $4K |
| 99383 | <1% | 40 | $4K | |
| 88720 | <1% | 1,016 | $4K | |
| 99188 | <1% | 241 | $4K | |
| 94664 | <1% | 278 | $3K | |
| 90677 | <1% | 3,200 | $3K | |
| 81002 | <1% | 1,005 | $3K | |
| 90686 | <1% | 13,454 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 30 | $2K |
| 90723 | <1% | 11,737 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38 | $1K |
| 90680 | <1% | 8,522 | $1K | |
| 96380 | <1% | 64 | $1K | |
| 54150 | <1% | 13 | $1K | |
| 90380 | <1% | 13 | $1K | |
| 87634 | <1% | 16 | $897.52 | |
| 90716 | <1% | 2,737 | $500.65 | |
| 90707 | <1% | 2,559 | $490.26 | |
| 0001A | <1% | 16 | $467.85 | |
| 81003 | <1% | 132 | $270.12 | |
| 90647 | <1% | 11,070 | $268.55 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 204 | $255.67 |
| 90633 | <1% | 7,287 | $181.25 | |
| 82947 | <1% | 42 | $130.72 | |
| 90715 | <1% | 807 | $120.63 | |
| 90696 | <1% | 889 | $52.27 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 5,966 | $14.69 |
| 90620 | 0% | 198 | $0.00 | |
| 90656 | 0% | 773 | $0.00 | |
| 99072 | 0% | 21,083 | $0.00 | |
| 90681 | 0% | 117 | $0.00 | |
| 90700 | 0% | 786 | $0.00 | |
| 90734 | 0% | 1,772 | $0.00 | |
| 90648 | 0% | 166 | $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 officialJAMES, LAURA (OFFICE MANAGER)