Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE PEDIATRIC CARE CENTER, LLC

NPI: 1497295174 · LEESVILLE, SC 29070 · Pediatrics Physician · NPI assigned 03/01/2017

$1.73M
Total Medicaid Paid
40,314
Total Claims
35,772
Beneficiaries
42
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialSMITH, BRANDY (OFFICE MANAGER)
NPI Enumeration Date03/01/2017

Related Entities

Other providers sharing the same authorized official: SMITH, BRANDY

ProviderCityStateTotal Paid
MADISON DIRECT HEALTH MADISON IN $226K
COUNTY OF LOUISA WAPELLO IA $952.11

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,570 $417K
2019 7,373 $310K
2020 7,430 $330K
2021 9,019 $426K
2022 4,922 $249K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,309 5,476 $546K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,303 7,285 $529K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,358 1,342 $126K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 957 939 $91K
90461 2,119 2,082 $70K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 868 858 $70K
90460 Immunization administration through 18 years of age via any route, first or only component 3,772 3,711 $62K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,322 1,260 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,863 1,864 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 474 469 $50K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,398 1,360 $19K
G9153 Mapcp demonstration - physician incentive pool 193 193 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 246 242 $9K
99188 534 528 $9K
96127 647 639 $5K
94664 423 376 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 70 69 $4K
87807 307 294 $4K
83655 269 267 $3K
85018 1,156 1,133 $3K
99381 28 24 $3K
90651 120 117 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 306 300 $2K
69210 59 54 $2K
81003 905 859 $2K
90686 473 470 $344.82
94760 1,050 830 $257.34
90672 76 76 $225.80
99070 16 16 $96.94
90715 26 25 $78.08
90723 422 410 $77.27
86308 13 12 $76.88
36415 Collection of venous blood by venipuncture 13 12 $31.59
90647 589 576 $25.69
90633 157 156 $0.00
90670 735 721 $0.00
90700 138 138 $0.00
90648 134 134 $0.00
90734 83 81 $0.00
90685 31 31 $0.00
90713 15 15 $0.00
90680 337 328 $0.00