Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE PEDIATRIC OFFICE, LLC

NPI: 1629025432 · EVANS, GA 30809 · Pediatric Adolescent Medicine Physician · NPI assigned 05/27/2006

$2.00M
Total Medicaid Paid
71,780
Total Claims
67,696
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUNNINGHAM, KEELYN (OFFICE MANAGER)
NPI Enumeration Date05/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,389 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,587 11,430 $835K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,443 2,299 $241K
90460 Immunization administration through 18 years of age via any route, first or only component 5,812 5,689 $227K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,824 1,793 $171K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,649 1,628 $153K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 963 945 $95K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 848 830 $76K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 934 882 $35K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,259 1,132 $35K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 555 542 $21K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 395 385 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 996 967 $15K
81002 4,481 4,324 $13K
85018 4,571 4,489 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 552 541 $11K
92551 3,524 3,451 $10K
99173 3,761 3,680 $8K
99401 362 354 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 787 782 $7K
99050 381 371 $6K
96160 1,869 1,835 $5K
87428 43 34 $1K
99460 12 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
99072 317 281 $675.16
96161 154 150 $519.76
90686 2,008 1,974 $440.38
87081 72 69 $249.63
94664 13 12 $201.43
4025F 140 138 $192.02
36416 4,293 4,197 $148.63
2014F 13 13 $90.00
90685 82 81 $74.92
96127 16 15 $55.57
99000 70 67 $21.00
90656 55 51 $19.34
83655 17 17 $10.00
90651 50 48 $0.02
90670 393 386 $0.01
90671 13 13 $0.01
90698 439 426 $0.01
90619 35 34 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,661 6,080 $0.00
4120F 242 229 $0.00
4040F 93 92 $0.00
90633 215 209 $0.00
90734 40 37 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,618 3,570 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 283 278 $0.00
90744 26 26 $0.00
4037F 671 667 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 25 24 $0.00
90680 65 65 $0.00
90620 41 40 $0.00