BALLENTINE PEDIATRICS, LLC
NPI: 1629234141
· IRMO, SC 29063
· 2080A0000X
$1.94M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,295 |
$184K |
| 2019 |
4,341 |
$196K |
| 2020 |
4,015 |
$219K |
| 2021 |
5,105 |
$296K |
| 2022 |
6,834 |
$353K |
| 2023 |
7,738 |
$389K |
| 2024 |
5,314 |
$307K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
7,896 |
6,909 |
$738K |
| 99213 |
|
7,039 |
6,294 |
$452K |
| 99392 |
|
1,560 |
1,539 |
$151K |
| 99391 |
|
1,575 |
1,477 |
$139K |
| 90460 |
|
4,081 |
3,993 |
$122K |
| 99393 |
|
1,103 |
1,087 |
$107K |
| 87426 |
|
1,886 |
1,784 |
$85K |
| 87804 |
|
3,533 |
1,682 |
$44K |
| 99394 |
|
258 |
256 |
$28K |
| 90461 |
|
1,331 |
1,290 |
$27K |
| 87880 |
|
1,831 |
1,727 |
$23K |
| 99188 |
|
566 |
560 |
$9K |
| 87807 |
|
432 |
405 |
$4K |
| 96127 |
|
542 |
518 |
$4K |
| 85018 |
|
1,110 |
1,094 |
$2K |
| 90677 |
|
91 |
89 |
$2K |
| 90671 |
|
174 |
172 |
$1K |
| 83655 |
|
91 |
91 |
$1K |
| 96110 |
|
86 |
85 |
$622.25 |
| 99050 |
|
52 |
52 |
$588.00 |
| 81002 |
|
150 |
142 |
$398.19 |
| 90697 |
|
172 |
171 |
$330.00 |
| 94640 |
|
21 |
18 |
$262.28 |
| 92552 |
|
27 |
26 |
$261.00 |
| 82465 |
|
31 |
31 |
$109.62 |
| 36415 |
|
24 |
24 |
$52.89 |
| 96372 |
|
12 |
12 |
$41.46 |
| 90656 |
|
52 |
52 |
$38.58 |
| 90670 |
|
396 |
391 |
$0.00 |
| 90633 |
|
196 |
194 |
$0.00 |
| G2211 |
Complex e/m visit add on |
70 |
58 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90680 |
|
259 |
257 |
$0.00 |
| 90686 |
|
739 |
730 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |
| 90723 |
|
80 |
78 |
$0.00 |
| 90647 |
|
84 |
84 |
$0.00 |
| 99000 |
|
27 |
26 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |