Clinic
Toccoa Clinic Medical Associates, LLP
Toccoa Clinic Medical Associates, LLP was paid $100K by Medicaid between Jan 2018 and Oct 2021, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoTOCCOA CLINIC MEDICAL ASSOCIATES, LLP
TOCCOA, GA 30577
TOCCOA, GA 30577
33aNPI1609896885assigned 07/20/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$100K
24GClaims2,896
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Georgia
Rank by total paid#3 of 8
Median peer was paid$38K
This provider vs. median2.7×
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 | 471 | $8K | |
| 2019 | 652 | $17K | |
| 2020 | 1,413 | $54K | |
| 2021 | 360 | $21K |
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% | 847 | 732 | $41K |
| 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 | 16% | 191 | 182 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 404 | 364 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 112 | 107 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 139 | 139 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 55 | 55 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 75 | 60 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 13 | 13 | $1K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 13 | 13 | $833.15 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 140 | 121 | $831.49 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | 41 | $643.23 |
| 99051 | <1% | 13 | 13 | $325.00 |
10 more codes
| 81003 | <1% | 82 | $252.07 | |
| 87070 | <1% | 17 | $191.34 | |
| 96161 | <1% | 16 | $53.95 | |
| G8482 | Influenza immunization administered or previously received | 0% | 226 | $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% | 299 | $0.00 |
| 90670 | 0% | 16 | $0.00 | |
| 99429 | 0% | 98 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 69 | $0.00 |
| 90698 | 0% | 16 | $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 officialCRONIC, DAVID (ADMINISTRATOR)