Physician
Piedmont Providers LLC
Piedmont Providers LLC was paid $1.58M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoPIEDMONT PROVIDERS LLC
JASPER, GA 30143
JASPER, GA 30143
33aNPI1548273592assigned 08/14/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.58M
24GClaims138,201
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Georgia
Rank by total paid#6 of 124
Median peer was paid$11K
This provider vs. median143×
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 | 35,129 | $140K | |
| 2019 | 40,834 | $128K | |
| 2020 | 24,009 | $96K | |
| 2021 | 7,425 | $195K | |
| 2022 | 11,121 | $332K | |
| 2023 | 11,578 | $426K | |
| 2024incomplete | 8,105 | $263K |
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 | 51% | 19,293 | 18,176 | $802K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 10,820 | 9,922 | $375K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.8% | 1,873 | 1,811 | $107K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 1,633 | 1,527 | $76K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.7% | 765 | 710 | $58K |
| 20610 | 1.2% | 713 | 595 | $18K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,101 | 9,328 | $13K |
| 81025 | <1% | 1,741 | 1,620 | $12K | |
| 20611 | <1% | 220 | 147 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 342 | 324 | $10K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 188 | 114 | $9K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 246 | 151 | $8K |
84 more codes
| 59025 | Fetal non-stress test | <1% | 272 | $7K |
| 92567 | <1% | 380 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 158 | $6K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 201 | $6K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 130 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 67 | $5K |
| 94010 | <1% | 383 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 47 | $4K |
| 81003 | <1% | 1,717 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 116 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 89 | $3K |
| 82962 | <1% | 842 | $2K | |
| 99235 | <1% | 14 | $2K | |
| 90682 | <1% | 59 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 313 | $2K |
| 76813 | <1% | 48 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 118 | $2K |
| 95886 | <1% | 14 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 44 | $1K |
| 90715 | <1% | 65 | $1K | |
| 94060 | <1% | 67 | $1K | |
| 81002 | <1% | 568 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 397 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 135 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 251 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 19 | $1K |
| 94729 | <1% | 43 | $402.16 | |
| 85018 | <1% | 113 | $298.72 | |
| 73564 | <1% | 13 | $280.97 | |
| 90686 | <1% | 16 | $248.17 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $158.50 |
| 94664 | <1% | 25 | $152.27 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $95.84 |
| 94375 | <1% | 12 | $81.51 | |
| 51798 | <1% | 12 | $80.46 | |
| 82947 | <1% | 18 | $75.49 | |
| 81005 | <1% | 51 | $68.60 | |
| 87210 | <1% | 14 | $62.27 | |
| 81000 | <1% | 14 | $38.92 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 58 | $15.02 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $11.08 |
| 0502F | <1% | 616 | $0.14 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 18,353 | $0.00 |
| 1007F | 0% | 99 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,363 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 7,702 | $0.00 |
| 4004F | 0% | 382 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 35 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 556 | $0.00 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 579 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 270 | $0.00 |
| 3023F | 0% | 672 | $0.00 | |
| 4040F | 0% | 445 | $0.00 | |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 204 | $0.00 |
| G9225 | Foot exam was not performed, reason not given | 0% | 82 | $0.00 |
| G8400 | Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given | 0% | 30 | $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) | 0% | 109 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 208 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 15 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 13 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 28 | $0.00 |
| 2022F | 0% | 99 | $0.00 | |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 14 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 7,229 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 10,581 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 938 | $0.00 |
| 1036F | 0% | 10,196 | $0.00 | |
| G8925 | Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms | 0% | 25 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 14,513 | $0.00 |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 400 | $0.00 |
| 3017F | 0% | 3,273 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 2,057 | $0.00 |
| 1123F | 0% | 350 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 108 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 90 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 60 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 134 | $0.00 |
| 3048F | 0% | 34 | $0.00 | |
| 1101F | 0% | 198 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 204 | $0.00 |
| 3074F | 0% | 13 | $0.00 | |
| 4132F | 0% | 13 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 14 | $0.00 |
| 4130F | 0% | 17 | $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 officialAQUINO, CHRISTY (DIRECTOR, PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Piedmont Pediatric Physicians LLC | Newnan, GA | $4.45M |
| Piedmont Medical Care Corporation | Atlanta, GA | $3.74M |
| Piedmont Hospitalist Physicians LLC | Stockbridge, GA | $3.62M |
| Piedmont Professional Services, LLC | Stockbridge, GA | $7K |
| Piedmont Cardiology of Atlanta, LLC | Atlanta, GA | $2.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.