Physician
Express Pediatric Care, P.A.
Express Pediatric Care, P.A. was paid $2.84M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoEXPRESS PEDIATRIC CARE, P.A.
GREENVILLE, SC 29615
GREENVILLE, SC 29615
33aNPI1609259217assigned 06/30/2015
33bProvider typePediatrics Physician
28Total paid$2.84M
24GClaims64,229
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#40 of 471
Median peer was paid$18K
This provider vs. median161×
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 | 11,041 | $385K | |
| 2019 | 10,349 | $374K | |
| 2020 | 8,766 | $347K | |
| 2021 | 8,744 | $417K | |
| 2022 | 9,331 | $461K | |
| 2023 | 8,749 | $462K | |
| 2024incomplete | 7,249 | $396K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 17,092 | 15,739 | $1.16M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 2,769 | 2,724 | $277K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 2,076 | 2,034 | $228K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 1,879 | 1,869 | $187K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 6,405 | 6,311 | $173K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 3,141 | 3,112 | $123K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 3.9% | 794 | 786 | $111K |
| 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 | 3.9% | 1,134 | 1,114 | $110K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 1,039 | 1,031 | $96K |
| G9153 | Mapcp demonstration - physician incentive pool | 2.3% | 1,395 | 1,389 | $67K |
| 92081 | 2.1% | 2,427 | 2,417 | $61K | |
| 90461 | 1.7% | 2,023 | 2,000 | $49K |
38 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 386 | $34K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 3,670 | $29K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 132 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,813 | $23K |
| 96127 | <1% | 2,759 | $19K | |
| 97803 | <1% | 1,585 | $14K | |
| 92552 | <1% | 995 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 471 | $9K |
| 99177 | <1% | 1,356 | $6K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 343 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 49 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 73 | $4K |
| 94760 | <1% | 2,631 | $3K | |
| 87634 | <1% | 35 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 121 | $2K |
| 99384 | <1% | 12 | $1K | |
| 99051 | <1% | 75 | $852.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 18 | $595.00 |
| 97802 | <1% | 39 | $455.20 | |
| 81003 | <1% | 162 | $388.93 | |
| 90677 | <1% | 55 | $288.66 | |
| 83655 | <1% | 12 | $165.48 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $24.67 |
| 90647 | 0% | 603 | $0.00 | |
| 90723 | 0% | 446 | $0.00 | |
| 90656 | 0% | 60 | $0.00 | |
| 90686 | 0% | 900 | $0.00 | |
| 90696 | 0% | 86 | $0.00 | |
| 90716 | 0% | 49 | $0.00 | |
| 90670 | 0% | 686 | $0.00 | |
| 90734 | 0% | 500 | $0.00 | |
| 90710 | 0% | 130 | $0.00 | |
| 90649 | 0% | 770 | $0.00 | |
| 90633 | 0% | 437 | $0.00 | |
| 90707 | 0% | 61 | $0.00 | |
| 90715 | 0% | 459 | $0.00 | |
| 90681 | 0% | 50 | $0.00 | |
| 90700 | 0% | 14 | $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 officialPOLLY, DAWN (OWNER)