Physician
Decatur Pediatric Group, PA
Decatur Pediatric Group, PA was paid $4.98M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoDECATUR PEDIATRIC GROUP, PA
CLARKSTON, GA 30021
CLARKSTON, GA 30021
33aNPI1619029592assigned 01/18/2007
33bProvider typePediatrics Physician
28Total paid$4.98M
24GClaims136,402
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#20 of 220
Median peer was paid$57K
This provider vs. median87×
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 | 31,051 | $1.08M | |
| 2019 | 29,231 | $1.10M | |
| 2020 | 20,465 | $741K | |
| 2021 | 27,473 | $994K | |
| 2022 | 24,626 | $903K | |
| 2023 | 2,817 | $120K | |
| 2024incomplete | 739 | $55K |
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 | 20% | 15,701 | 14,577 | $985K |
| 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 | 18% | 9,962 | 9,045 | $899K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 5,683 | 5,264 | $515K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 14,578 | 13,135 | $514K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 12,977 | 11,915 | $514K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.8% | 4,449 | 4,082 | $437K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 4,085 | 3,626 | $342K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 2,051 | 1,873 | $168K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 1,082 | 928 | $132K |
| 92587 | 1.4% | 1,862 | 1,687 | $69K | |
| 99429 | <1% | 3,527 | 2,216 | $44K | |
| 94760 | <1% | 5,256 | 4,553 | $40K |
73 more codes
| 96127 | <1% | 8,402 | $34K | |
| 99051 | <1% | 1,794 | $33K | |
| 87428 | <1% | 360 | $24K | |
| 94010 | <1% | 1,021 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,557 | $22K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,661 | $22K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 173 | $16K |
| 99383 | <1% | 137 | $14K | |
| 99354 | <1% | 177 | $13K | |
| 96160 | <1% | 3,172 | $10K | |
| 99188 | <1% | 618 | $10K | |
| 90837 | Psychotherapy session, about an hour | <1% | 144 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 636 | $7K |
| 99381 | <1% | 89 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 399 | $6K |
| 99401 | <1% | 1,333 | $6K | |
| 99384 | <1% | 63 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 445 | $6K |
| 95012 | <1% | 390 | $6K | |
| 99382 | <1% | 57 | $5K | |
| 0071A | <1% | 143 | $5K | |
| 80061 | Lipid panel | <1% | 283 | $5K |
| 0001A | <1% | 133 | $4K | |
| 96161 | <1% | 1,118 | $4K | |
| 99173 | <1% | 7,857 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 187 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 61 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 54 | $3K |
| 99050 | <1% | 117 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $2K |
| 92583 | <1% | 65 | $2K | |
| 91300 | <1% | 138 | $2K | |
| 92551 | <1% | 852 | $2K | |
| 85018 | <1% | 474 | $1K | |
| 81002 | <1% | 380 | $1K | |
| 83655 | <1% | 85 | $740.50 | |
| 94060 | <1% | 13 | $651.75 | |
| 90461 | <1% | 653 | $528.30 | |
| D1206 | Topical application of fluoride varnish | <1% | 31 | $456.65 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,980 | $304.55 |
| 99493 | <1% | 119 | $255.18 | |
| 97802 | <1% | 2,353 | $219.15 | |
| 90651 | <1% | 1,007 | $216.99 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,484 | $206.78 |
| 90716 | <1% | 648 | $122.02 | |
| 92553 | <1% | 54 | $78.68 | |
| 90707 | <1% | 562 | $70.92 | |
| 90674 | <1% | 413 | $67.22 | |
| 90648 | <1% | 1,333 | $19.67 | |
| 36416 | <1% | 355 | $2.80 | |
| 90670 | 0% | 1,474 | $0.00 | |
| 90734 | 0% | 986 | $0.00 | |
| 90700 | 0% | 140 | $0.00 | |
| 90633 | 0% | 675 | $0.00 | |
| 90715 | 0% | 309 | $0.00 | |
| 90681 | 0% | 85 | $0.00 | |
| 5250F | 0% | 58 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15 | $0.00 |
| 90756 | 0% | 39 | $0.00 | |
| 1160F | 0% | 41 | $0.00 | |
| 90672 | 0% | 13 | $0.00 | |
| 90686 | 0% | 1,635 | $0.00 | |
| 90723 | 0% | 767 | $0.00 | |
| 90688 | 0% | 377 | $0.00 | |
| 99000 | 0% | 368 | $0.00 | |
| 90620 | 0% | 190 | $0.00 | |
| 90696 | 0% | 155 | $0.00 | |
| 92558 | 0% | 24 | $0.00 | |
| 90647 | 0% | 49 | $0.00 | |
| 91307 | 0% | 122 | $0.00 | |
| 1126F | 0% | 17 | $0.00 | |
| 3074F | 0% | 26 | $0.00 | |
| 99441 | 0% | 12 | $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 officialWILSON-PHILLIPS, LYNETTE (PRESIDENT)