Physician
Oconee Pediatrics
Oconee Pediatrics was paid $98K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 87804, Infectious agent antigen detection by immunoassay; Influenza, each type — 28% of everything it billed.
33Billing provider infoOCONEE PEDIATRICS
SENECA, SC 29678
SENECA, SC 29678
33aNPI1609928472assigned 01/18/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$98K
24GClaims9,655
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in South Carolina
Rank by total paid#12 of 24
Median peer was paid$76K
This provider vs. median1.3×
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 | 4,434 | $44K | |
| 2019 | 1,487 | $14K | |
| 2020 | 825 | $6K | |
| 2021 | 854 | $11K | |
| 2022 | 1,020 | $13K | |
| 2023 | 786 | $8K | |
| 2024incomplete | 249 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 28% | 1,748 | 1,107 | $28K |
| 96127 | 20% | 3,428 | 2,420 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 19% | 1,591 | 1,485 | $18K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 13% | 142 | 136 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.1% | 244 | 201 | $8K |
| 96160 | 3.4% | 373 | 288 | $3K | |
| 81002 | 2.1% | 759 | 684 | $2K | |
| 96161 | 1.5% | 188 | 180 | $1K | |
| 83655 | 1.5% | 108 | 106 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 155 | 153 | $1K |
| 81003 | 1.1% | 727 | 660 | $1K | |
| 87807 | <1% | 49 | 46 | $590.55 |
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 officialSTEWART, FRANK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Oconee Pediatrics | Seneca, SC | $8.52M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.