Physician
The Pediatric Care Center, LLC
The Pediatric Care Center, LLC was paid $1.73M by Medicaid between Jan 2018 and Sep 2022, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoTHE PEDIATRIC CARE CENTER, LLC
LEESVILLE, SC 29070
LEESVILLE, SC 29070
33aNPI1497295174assigned 03/01/2017
33bProvider typePediatrics Physician
28Total paid$1.73M
24GClaims40,314
24DCodes billed42
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#47 of 471
Median peer was paid$18K
This provider vs. median98×
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 | 11,570 | $417K | |
| 2019 | 7,373 | $310K | |
| 2020 | 7,430 | $330K | |
| 2021 | 9,019 | $426K | |
| 2022 | 4,922 | $249K |
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 | 32% | 6,309 | 5,476 | $546K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 8,303 | 7,285 | $529K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 1,358 | 1,342 | $126K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 957 | 939 | $91K |
| 90461 | 4.1% | 2,119 | 2,082 | $70K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 868 | 858 | $70K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 3,772 | 3,711 | $62K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.1% | 1,322 | 1,260 | $54K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 3,863 | 1,864 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 474 | 469 | $50K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,398 | 1,360 | $19K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 193 | 193 | $10K |
30 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 246 | $9K |
| 99188 | <1% | 534 | $9K | |
| 96127 | <1% | 647 | $5K | |
| 94664 | <1% | 423 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 70 | $4K |
| 87807 | <1% | 307 | $4K | |
| 83655 | <1% | 269 | $3K | |
| 85018 | <1% | 1,156 | $3K | |
| 99381 | <1% | 28 | $3K | |
| 90651 | <1% | 120 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 306 | $2K |
| 69210 | <1% | 59 | $2K | |
| 81003 | <1% | 905 | $2K | |
| 90686 | <1% | 473 | $344.82 | |
| 94760 | <1% | 1,050 | $257.34 | |
| 90672 | <1% | 76 | $225.80 | |
| 99070 | <1% | 16 | $96.94 | |
| 90715 | <1% | 26 | $78.08 | |
| 90723 | <1% | 422 | $77.27 | |
| 86308 | <1% | 13 | $76.88 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $31.59 |
| 90647 | <1% | 589 | $25.69 | |
| 90633 | 0% | 157 | $0.00 | |
| 90670 | 0% | 735 | $0.00 | |
| 90700 | 0% | 138 | $0.00 | |
| 90648 | 0% | 134 | $0.00 | |
| 90734 | 0% | 83 | $0.00 | |
| 90685 | 0% | 31 | $0.00 | |
| 90713 | 0% | 15 | $0.00 | |
| 90680 | 0% | 337 | $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 officialSMITH, BRANDY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Madison Direct Health | Madison, IN | $226K |
| County of Louisa | Wapello, IA | $952.11 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.