Physician
Piedmont Pediatric Physicians LLC
Piedmont Pediatric Physicians LLC was paid $4.45M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPIEDMONT PEDIATRIC PHYSICIANS LLC
NEWNAN, GA 30263
NEWNAN, GA 30263
33aNPI1447315742assigned 12/27/2006
33bProvider typePediatrics Physician
28Total paid$4.45M
24GClaims115,283
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#23 of 220
Median peer was paid$57K
This provider vs. median78×
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 | 17,009 | $516K | |
| 2019 | 21,034 | $594K | |
| 2020 | 18,832 | $499K | |
| 2021 | 13,377 | $575K | |
| 2022 | 17,545 | $825K | |
| 2023 | 16,727 | $883K | |
| 2024incomplete | 10,759 | $556K |
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 | 48% | 38,184 | 35,030 | $2.14M |
| 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 | 16% | 8,272 | 7,700 | $709K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 5,787 | 5,188 | $467K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 5,913 | 5,256 | $265K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 2,825 | 2,649 | $262K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 2,602 | 2,422 | $130K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 1,007 | 888 | $89K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 2,343 | 2,137 | $88K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 5,075 | 2,456 | $74K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 4,358 | 4,131 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 424 | 387 | $43K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,773 | 1,633 | $19K |
44 more codes
| 99383 | <1% | 186 | $16K | |
| 99381 | <1% | 168 | $14K | |
| 85018 | <1% | 4,945 | $13K | |
| 99384 | <1% | 80 | $9K | |
| 96161 | <1% | 2,078 | $7K | |
| 99050 | <1% | 376 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 68 | $5K |
| 81003 | <1% | 1,760 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 81 | $4K |
| 81002 | <1% | 957 | $3K | |
| 99382 | <1% | 43 | $3K | |
| 87807 | <1% | 158 | $2K | |
| 99460 | <1% | 39 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,464 | $2K |
| 83655 | <1% | 136 | $926.00 | |
| 90677 | <1% | 318 | $909.27 | |
| 90680 | <1% | 838 | $788.60 | |
| 99188 | <1% | 46 | $758.15 | |
| 96127 | <1% | 128 | $700.28 | |
| 0071A | <1% | 13 | $538.00 | |
| 0072A | <1% | 12 | $496.00 | |
| 90744 | <1% | 573 | $390.88 | |
| 90670 | <1% | 1,229 | $215.33 | |
| 96160 | <1% | 61 | $155.45 | |
| 90698 | <1% | 965 | $67.38 | |
| 92558 | <1% | 54 | $54.00 | |
| 92551 | <1% | 154 | $53.01 | |
| 99177 | <1% | 80 | $8.40 | |
| 36416 | <1% | 330 | $8.20 | |
| 90686 | 0% | 1,276 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 2,887 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 558 | $0.00 |
| 90651 | 0% | 167 | $0.00 | |
| 90697 | 0% | 200 | $0.00 | |
| 90656 | 0% | 32 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 12,276 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 746 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 588 | $0.00 |
| 90633 | 0% | 440 | $0.00 | |
| 0469T | 0% | 44 | $0.00 | |
| 99173 | 0% | 72 | $0.00 | |
| 90685 | 0% | 51 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90734 | 0% | 29 | $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 officialAQUINO, CHRISTY (DIRECTOR OF PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Piedmont Medical Care Corporation | Atlanta, GA | $3.74M |
| Piedmont Hospitalist Physicians LLC | Stockbridge, GA | $3.62M |
| Piedmont Providers LLC | Jasper, GA | $1.58M |
| Piedmont Professional Services, LLC | Stockbridge, GA | $7K |
| Piedmont Cardiology of Atlanta, LLC | Atlanta, GA | $2.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.