Medicaid Provider Spending

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

PEDIATRICARE PM

NPI: 1497820468 · AUGUSTA, GA 30909 · Pediatrics Physician · NPI assigned 11/22/2006

$2.77M
Total Medicaid Paid
79,507
Total Claims
73,080
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOOK, TERRI (BUSINESS MANAGER)
NPI Enumeration Date11/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,879 $369K
2019 9,968 $350K
2020 12,212 $356K
2021 11,608 $413K
2022 15,600 $551K
2023 11,376 $424K
2024 7,864 $303K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,677 13,422 $980K
90460 Immunization administration through 18 years of age via any route, first or only component 8,162 7,692 $386K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,035 2,742 $276K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,505 2,421 $247K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,560 2,280 $229K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,290 3,891 $163K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,228 1,152 $127K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,166 1,099 $118K
T1015 Clinic visit/encounter, all-inclusive 667 640 $54K
99050 1,809 1,730 $27K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,763 2,404 $25K
85018 7,348 6,890 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,235 728 $20K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 375 364 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 877 839 $11K
92551 3,977 3,705 $10K
81002 3,219 2,997 $10K
96127 2,199 2,054 $10K
99429 669 366 $6K
99173 4,211 3,911 $5K
96160 1,863 1,724 $5K
99460 57 52 $5K
99238 Hospital discharge day management, 30 minutes or less 50 46 $3K
0072A 71 67 $3K
96161 958 896 $3K
99188 130 130 $2K
83655 235 200 $2K
0071A 32 32 $1K
87807 43 43 $669.44
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,403 1,305 $545.10
90651 292 268 $363.00
90671 412 408 $246.20
90620 397 358 $243.02
90670 1,253 1,177 $216.89
90619 58 57 $171.02
86580 16 12 $110.48
90633 323 285 $52.72
90686 1,236 1,190 $0.01
90648 540 499 $0.00
90685 58 53 $0.00
3078F 70 67 $0.00
G0444 Annual depression screening, 5 to 15 minutes 275 260 $0.00
90681 67 67 $0.00
1160F 140 133 $0.00
90700 76 76 $0.00
90715 29 28 $0.00
90734 86 73 $0.00
90710 26 25 $0.00
90707 14 13 $0.00
90713 17 17 $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) 18 15 $0.00
90672 16 16 $0.00
90680 697 670 $0.00
H0049 Alcohol and/or drug screening 276 257 $0.00
36416 158 132 $0.00
90723 370 368 $0.00
3008F 177 167 $0.00
90716 48 37 $0.00
90698 53 50 $0.00
90647 313 306 $0.00
90696 27 26 $0.00
91307 124 118 $0.00
3074F 31 30 $0.00