Physician
ST Joseph's Pediatrics LLC
ST Joseph's Pediatrics LLC was paid $676K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 22% of everything it billed.
33Billing provider infoST JOSEPH'S PEDIATRICS LLC
SUWANEE, GA 30024
SUWANEE, GA 30024
33aNPI1518164755assigned 06/29/2007
33bProvider typePediatrics Physician
28Total paid$676K
24GClaims12,333
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#61 of 220
Median peer was paid$57K
This provider vs. median12×
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 | 2,141 | $125K | |
| 2019 | 2,168 | $123K | |
| 2020 | 1,974 | $91K | |
| 2021 | 1,617 | $93K | |
| 2022 | 1,648 | $99K | |
| 2023 | 1,674 | $100K | |
| 2024incomplete | 1,111 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22% | 3,506 | 3,366 | $147K |
| 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 | 19% | 1,239 | 1,161 | $125K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 832 | 811 | $93K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 913 | 889 | $92K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,225 | 1,127 | $86K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 535 | 507 | $52K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.9% | 1,144 | 1,099 | $47K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 189 | 169 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 222 | 155 | $5K |
| 90671 | <1% | 14 | 13 | $2K | |
| 0071A | <1% | 41 | 39 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 36 | 32 | $1K |
21 more codes
| 99429 | <1% | 131 | $1K | |
| 0072A | <1% | 24 | $996.00 | |
| 0002A | <1% | 20 | $863.10 | |
| 0001A | <1% | 19 | $796.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 81 | $718.84 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 43 | $588.13 |
| 90473 | <1% | 25 | $502.94 | |
| 96127 | <1% | 83 | $389.80 | |
| 90672 | <1% | 109 | $374.33 | |
| 99173 | <1% | 64 | $236.63 | |
| 92551 | <1% | 63 | $230.44 | |
| 85018 | <1% | 67 | $201.72 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 96 | $119.10 |
| 90686 | <1% | 1,265 | $99.56 | |
| 90620 | 0% | 38 | $0.00 | |
| 90647 | 0% | 29 | $0.00 | |
| 90651 | 0% | 72 | $0.00 | |
| 90723 | 0% | 28 | $0.00 | |
| 90734 | 0% | 59 | $0.00 | |
| 90670 | 0% | 103 | $0.00 | |
| 90633 | 0% | 18 | $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 officialDOLORES, EFFIE (OWNER)