Primary Pediatrics, PC
Primary Pediatrics, PC was paid $32.94M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPRIMARY PEDIATRICS, PC
MACON, GA 31210
MACON, GA 31210
33aNPI1477638575assigned 10/26/2006
33bProvider typeSpecialist
28Total paid$32.94M
24GClaims873,942
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Georgia
Rank by total paid#1 of 52
Median peer was paid$46K
This provider vs. median711×
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 | 222,578 | $9.03M | |
| 2019 | 207,140 | $7.12M | |
| 2020 | 94,516 | $3.34M | |
| 2021 | 79,742 | $3.13M | |
| 2022 | 114,588 | $4.34M | |
| 2023 | 97,511 | $3.60M | |
| 2024incomplete | 57,867 | $2.38M |
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 | 44% | 218,808 | 203,117 | $14.51M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 30,247 | 29,893 | $3.08M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 55,523 | 54,866 | $2.92M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 27,961 | 26,232 | $2.65M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 21,475 | 21,287 | $2.20M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 12,462 | 12,341 | $1.39M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 22,375 | 21,931 | $938K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 55,601 | 27,670 | $852K |
| 99050 | 2.3% | 42,812 | 41,209 | $764K | |
| 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 | 2.3% | 7,634 | 7,237 | $751K |
| 99051 | 1.6% | 28,894 | 28,398 | $511K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 30,988 | 30,336 | $469K |
73 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 11,456 | $397K |
| 87070 | <1% | 21,950 | $237K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,654 | $172K |
| 99460 | <1% | 1,680 | $150K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 11,301 | $137K |
| 99283 | Emergency room visit (moderate) | <1% | 2,259 | $135K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,509 | $103K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,188 | $88K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,434 | $77K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 501 | $77K |
| 83655 | <1% | 6,643 | $70K | |
| 87807 | <1% | 3,362 | $51K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 122 | $22K |
| 87428 | <1% | 348 | $21K | |
| 81000 | <1% | 4,024 | $16K | |
| 99429 | <1% | 757 | $15K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,586 | $15K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 776 | $15K |
| 96160 | <1% | 3,564 | $14K | |
| 94760 | <1% | 1,607 | $12K | |
| 90651 | <1% | 4,373 | $8K | |
| 99284 | Emergency room visit (serious) | <1% | 78 | $7K |
| 90716 | <1% | 7,919 | $6K | |
| 82247 | <1% | 812 | $5K | |
| 99285 | Emergency room visit (most serious) | <1% | 33 | $4K |
| 0072A | <1% | 108 | $4K | |
| 0071A | <1% | 107 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $3K |
| 90707 | <1% | 7,461 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 159 | $3K |
| 96127 | <1% | 614 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 19 | $2K |
| 86308 | <1% | 257 | $2K | |
| 99381 | <1% | 14 | $1K | |
| 81025 | <1% | 179 | $1K | |
| 90620 | <1% | 933 | $1K | |
| 0002A | <1% | 31 | $1K | |
| 99173 | <1% | 258 | $1K | |
| 99462 | <1% | 27 | $1K | |
| 90633 | <1% | 7,999 | $1K | |
| 54450 | <1% | 14 | $981.68 | |
| 91300 | <1% | 163 | $881.00 | |
| 90734 | <1% | 3,910 | $873.60 | |
| 92552 | <1% | 139 | $814.55 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 46 | $807.20 |
| 90473 | <1% | 37 | $681.44 | |
| 82948 | <1% | 149 | $608.44 | |
| 0001A | <1% | 15 | $600.00 | |
| 94761 | <1% | 42 | $596.89 | |
| 81001 | <1% | 142 | $498.77 | |
| 95117 | <1% | 23 | $407.10 | |
| 86403 | <1% | 69 | $318.65 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 128,642 | $256.58 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $229.92 |
| 94664 | <1% | 13 | $220.19 | |
| 90715 | <1% | 1,372 | $219.30 | |
| 90686 | <1% | 7,949 | $218.92 | |
| 36416 | <1% | 3,699 | $11.24 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 825 | $4.40 |
| 90681 | 0% | 5,161 | $0.00 | |
| 90685 | 0% | 312 | $0.00 | |
| 90670 | 0% | 16,447 | $0.00 | |
| 90700 | 0% | 1,158 | $0.00 | |
| 90672 | 0% | 312 | $0.00 | |
| 90658 | 0% | 23 | $0.00 | |
| 90647 | 0% | 12,887 | $0.00 | |
| 90723 | 0% | 13,165 | $0.00 | |
| 90677 | 0% | 1,317 | $0.00 | |
| 90696 | 0% | 1,428 | $0.00 | |
| 91307 | 0% | 309 | $0.00 | |
| 90698 | 0% | 25 | $0.00 | |
| 90656 | 0% | 213 | $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 officialSLADE, LANCE (PRESIDENT)