THE PEDIATRIC CARE CENTER, LLC
NPI: 1497295174
· LEESVILLE, SC 29070
· Pediatrics Physician
$1.73M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
11,570 |
$417K |
| 2019 |
7,373 |
$310K |
| 2020 |
7,430 |
$330K |
| 2021 |
9,019 |
$426K |
| 2022 |
4,922 |
$249K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
6,309 |
5,476 |
$546K |
| 99213 |
|
8,303 |
7,285 |
$529K |
| 99392 |
|
1,358 |
1,342 |
$126K |
| 99393 |
|
957 |
939 |
$91K |
| 90461 |
|
2,119 |
2,082 |
$70K |
| 99391 |
|
868 |
858 |
$70K |
| 90460 |
|
3,772 |
3,711 |
$62K |
| 87811 |
|
1,322 |
1,260 |
$54K |
| 87804 |
|
3,863 |
1,864 |
$52K |
| 99394 |
|
474 |
469 |
$50K |
| 87880 |
|
1,398 |
1,360 |
$19K |
| G9153 |
Mapcp demonstration - physician incentive pool |
193 |
193 |
$10K |
| 99212 |
|
246 |
242 |
$9K |
| 99188 |
|
534 |
528 |
$9K |
| 96127 |
|
647 |
639 |
$5K |
| 94664 |
|
423 |
376 |
$4K |
| 87426 |
|
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 |
|
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 |
|
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 |