Physician
The Pediatric Office, LLC
The Pediatric Office, LLC was paid $2.00M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoTHE PEDIATRIC OFFICE, LLC
EVANS, GA 30809
EVANS, GA 30809
33aNPI1629025432assigned 05/27/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.00M
24GClaims71,780
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Georgia
Rank by total paid#5 of 15
Median peer was paid$1.14M
This provider vs. median1.8×
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 | 7,948 | $235K | |
| 2019 | 8,592 | $253K | |
| 2020 | 9,256 | $236K | |
| 2021 | 10,935 | $350K | |
| 2022 | 14,752 | $393K | |
| 2023 | 15,908 | $414K | |
| 2024incomplete | 4,389 | $124K |
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 | 42% | 12,587 | 11,430 | $835K |
| 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 | 12% | 2,443 | 2,299 | $241K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 5,812 | 5,689 | $227K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 1,824 | 1,793 | $171K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.6% | 1,649 | 1,628 | $153K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 963 | 945 | $95K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 848 | 830 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 934 | 882 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 2,259 | 1,132 | $35K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 555 | 542 | $21K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 395 | 385 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 996 | 967 | $15K |
42 more codes
| 81002 | <1% | 4,481 | $13K | |
| 85018 | <1% | 4,571 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 552 | $11K |
| 92551 | <1% | 3,524 | $10K | |
| 99173 | <1% | 3,761 | $8K | |
| 99401 | <1% | 362 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 787 | $7K |
| 99050 | <1% | 381 | $6K | |
| 96160 | <1% | 1,869 | $5K | |
| 87428 | <1% | 43 | $1K | |
| 99460 | <1% | 12 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 99072 | <1% | 317 | $675.16 | |
| 96161 | <1% | 154 | $519.76 | |
| 90686 | <1% | 2,008 | $440.38 | |
| 87081 | <1% | 72 | $249.63 | |
| 94664 | <1% | 13 | $201.43 | |
| 4025F | <1% | 140 | $192.02 | |
| 36416 | <1% | 4,293 | $148.63 | |
| 2014F | <1% | 13 | $90.00 | |
| 90685 | <1% | 82 | $74.92 | |
| 96127 | <1% | 16 | $55.57 | |
| 99000 | <1% | 70 | $21.00 | |
| 90656 | <1% | 55 | $19.34 | |
| 83655 | <1% | 17 | $10.00 | |
| 90651 | <1% | 50 | $0.02 | |
| 90670 | <1% | 393 | $0.01 | |
| 90671 | <1% | 13 | $0.01 | |
| 90698 | <1% | 439 | $0.01 | |
| 90619 | <1% | 35 | $0.01 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,661 | $0.00 |
| 4120F | 0% | 242 | $0.00 | |
| 4040F | 0% | 93 | $0.00 | |
| 90633 | 0% | 215 | $0.00 | |
| 90734 | 0% | 40 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 3,618 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 283 | $0.00 |
| 90744 | 0% | 26 | $0.00 | |
| 4037F | 0% | 671 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 25 | $0.00 |
| 90680 | 0% | 65 | $0.00 | |
| 90620 | 0% | 41 | $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 officialCUNNINGHAM, KEELYN (OFFICE MANAGER)