Clinic
Pediatric Evening Clinic
Pediatric Evening Clinic was paid $142K by Medicaid between Jan 2018 and Jun 2018, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoPEDIATRIC EVENING CLINIC
SPARTANBURG, SC 29302
SPARTANBURG, SC 29302
33aNPI1467438275assigned 12/22/2005
33bProvider typeUrgent Care Clinic/Center
28Total paid$142K
24GClaims4,650
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Urgent Care Clinic/Center providers in South Carolina
Rank by total paid#26 of 36
Median peer was paid$695K
This provider vs. median0.2×
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 | 4,650 | $142K |
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 | 55% | 1,481 | 1,365 | $78K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 281 | 281 | $22K |
| 99050 | 15% | 1,801 | 1,669 | $21K | |
| 87430 | 5.6% | 541 | 533 | $8K | |
| 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 | 3.4% | 61 | 61 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 257 | 130 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 28 | 28 | $2K |
| 99051 | 1.3% | 158 | 157 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | 16 | $154.35 |
| 81003 | <1% | 12 | 12 | $33.87 | |
| 94761 | <1% | 14 | 14 | $10.29 |
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 officialJOHNS, RALPH (OWNER)