Physician
Salerno Pediatric Care LLC
Salerno Pediatric Care LLC was paid $1.93M by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoSALERNO PEDIATRIC CARE LLC
HILTON HEAD, SC 29926
HILTON HEAD, SC 29926
33aNPI1477726883assigned 04/07/2008
33bProvider typePediatrics Physician
28Total paid$1.93M
24GClaims40,592
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#46 of 471
Median peer was paid$18K
This provider vs. median109×
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 | 8,154 | $334K | |
| 2019 | 6,560 | $274K | |
| 2020 | 5,977 | $250K | |
| 2021 | 6,325 | $319K | |
| 2022 | 5,969 | $327K | |
| 2023 | 4,642 | $259K | |
| 2024incomplete | 2,965 | $166K |
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 | 47% | 8,988 | 7,576 | $905K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 3,926 | 3,388 | $263K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.3% | 1,654 | 1,577 | $180K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 1,545 | 1,427 | $149K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 5,346 | 4,849 | $118K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 977 | 906 | $95K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 803 | 735 | $73K |
| 90461 | 1.8% | 1,716 | 1,570 | $34K | |
| 96127 | 1.3% | 3,164 | 2,938 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,753 | 1,599 | $25K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 664 | 595 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 695 | 636 | $13K |
28 more codes
| 96160 | <1% | 1,265 | $8K | |
| 99242 | <1% | 62 | $4K | |
| 96111 | <1% | 35 | $3K | |
| 99058 | <1% | 76 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 263 | $2K |
| 69210 | <1% | 59 | $2K | |
| 99188 | <1% | 110 | $2K | |
| 94760 | <1% | 2,149 | $2K | |
| 90651 | <1% | 257 | $1K | |
| 85018 | <1% | 446 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 387 | $904.28 |
| 83655 | <1% | 61 | $903.99 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 20 | $847.14 |
| 96161 | <1% | 47 | $277.58 | |
| 87807 | <1% | 14 | $168.54 | |
| 81002 | <1% | 44 | $135.84 | |
| 90686 | <1% | 1,756 | $114.78 | |
| 90670 | 0% | 265 | $0.00 | |
| 90734 | 0% | 340 | $0.00 | |
| 90648 | 0% | 136 | $0.00 | |
| 90633 | 0% | 114 | $0.00 | |
| 90710 | 0% | 32 | $0.00 | |
| 90715 | 0% | 39 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 51 | $0.00 |
| 3008F | 0% | 707 | $0.00 | |
| 2000F | 0% | 482 | $0.00 | |
| 90723 | 0% | 27 | $0.00 | |
| 90744 | 0% | 117 | $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 officialSALERNO, PETER (PHYSICIAN/OWNER)