Plum, Georgia

Plum, Georgia was paid $19K by Medicaid between Jul 2021 and Jan 2022, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoPLUM, GEORGIA
LITTLE RIVER, SC 29566

33aNPI1467448027assigned 09/20/2005

33bProvider typePediatric Nurse Practitioner

28Total paid$19K

24GClaims411

24DCodes billed9

24AFirst – last monthJul 2021 – Jan 2022

Compared with peers

Next to other Pediatric Nurse Practitioner providers in South Carolina

Rank by total paid#11 of 39

Median peer was paid$7K

This provider vs. median2.8×

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
2021	317	$16K
2022	94	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	38%	83	75	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	91	84	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	21%	92	86	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	6.4%	26	24	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.5%	12	12	$1K
90461		<1%	17	14	$169.40
99177		<1%	30	27	$62.64
94760		<1%	34	32	$21.60
99072		0%	26	24	$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.