Physician
Childrens Choice Pediatrics PA
Childrens Choice Pediatrics PA was paid $385K by Medicaid between Jan 2018 and Dec 2019, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoCHILDRENS CHOICE PEDIATRICS PA
COLUMBIA, SC 29209
COLUMBIA, SC 29209
33aNPI1528122884assigned 12/21/2006
33bProvider typePediatrics Physician
28Total paid$385K
24GClaims7,914
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#72 of 471
Median peer was paid$18K
This provider vs. median22×
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 | 4,570 | $224K | |
| 2019 | 3,344 | $162K |
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 | 49% | 2,238 | 2,069 | $189K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 605 | 594 | $50K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 509 | 502 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 317 | 311 | $27K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 1,381 | 1,363 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 309 | 295 | $18K |
| 90461 | 3.6% | 923 | 913 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 125 | 125 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 334 | 161 | $5K |
| 81002 | <1% | 645 | 629 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | 37 | $1K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 25 | 25 | $750.00 |
5 more codes
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 officialBRADY, THOMAS (MEMBER PEDIATRICAN)