Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Starfish Pediatric Ent, LLC

Starfish Pediatric Ent, LLC was paid $118K by Medicaid between Nov 2020 and Dec 2022, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 39% of everything it billed.

33Billing provider infoSTARFISH PEDIATRIC ENT, LLC
GOOSE CREEK, SC 29445
33aNPI1609491737assigned 06/15/2020
28Total paid$118K
24GClaims1,323
24DCodes billed5
24AFirst – last monthNov 2020 – Dec 2022
Compared with peers

Next to other Pediatric Otolaryngology Physician providers in South Carolina

Rank by total paid#3 of 6
Median peer was paid$41K
This provider vs. median2.9×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202039$3K
2021605$57K
2022679$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 39% 433 430 $47K
31231 26% 232 232 $31K
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 17% 251 240 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 320 317 $18K
69210 2.4% 87 79 $3K

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 officialHARRIS, GEORGE (OWNER)