Physician
South Charleston Pediatrics
South Charleston Pediatrics was paid $3.62M by Medicaid between Jan 2018 and Feb 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSOUTH CHARLESTON PEDIATRICS
CHARLESTON, WV 25302
CHARLESTON, WV 25302
33aNPI1639251036assigned 10/19/2006
33bProvider typePediatrics Physician
28Total paid$3.62M
24GClaims109,849
24DCodes billed44
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#5 of 57
Median peer was paid$409K
This provider vs. median8.9×
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 | 13,158 | $522K | |
| 2019 | 6,475 | $249K | |
| 2020 | 15,423 | $493K | |
| 2021 | 15,064 | $499K | |
| 2022 | 27,067 | $820K | |
| 2023 | 28,047 | $868K | |
| 2024incomplete | 4,615 | $169K |
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 | 40% | 24,914 | 21,860 | $1.45M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 5,241 | 5,019 | $352K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 4,666 | 4,141 | $292K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 4,121 | 3,985 | $279K |
| 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 | 7.0% | 2,881 | 2,653 | $252K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.2% | 15,061 | 14,407 | $226K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 7,166 | 6,835 | $161K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 1,802 | 1,725 | $137K |
| 92552 | 3.8% | 6,136 | 5,930 | $137K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.8% | 632 | 544 | $67K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 2,587 | 2,316 | $41K |
| 99173 | 1.1% | 6,298 | 6,092 | $38K |
32 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 5,407 | $38K |
| 90686 | <1% | 6,161 | $34K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 651 | $25K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 269 | $19K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 109 | $12K |
| 90670 | <1% | 2,095 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 588 | $9K |
| 83655 | <1% | 747 | $8K | |
| 96127 | <1% | 1,846 | $5K | |
| 90698 | <1% | 1,461 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 38 | $4K |
| 99381 | <1% | 55 | $4K | |
| 90633 | <1% | 970 | $3K | |
| 90680 | <1% | 1,325 | $3K | |
| 85018 | <1% | 885 | $2K | |
| 90744 | <1% | 762 | $2K | |
| 90651 | <1% | 546 | $858.29 | |
| 99401 | <1% | 15 | $753.15 | |
| 81002 | <1% | 244 | $646.13 | |
| 94760 | <1% | 424 | $604.19 | |
| 36416 | <1% | 574 | $329.07 | |
| 96161 | <1% | 220 | $145.36 | |
| 90677 | <1% | 178 | $0.01 | |
| 90715 | 0% | 223 | $0.00 | |
| 90707 | 0% | 227 | $0.00 | |
| 90710 | 0% | 321 | $0.00 | |
| 90648 | 0% | 305 | $0.00 | |
| 90700 | 0% | 319 | $0.00 | |
| 90696 | 0% | 312 | $0.00 | |
| 90620 | 0% | 246 | $0.00 | |
| 90619 | 0% | 559 | $0.00 | |
| 90716 | 0% | 262 | $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 officialFISHER, JENNIFER (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Indiana University | Indianapolis, IN | $183K |
| Indiana University | Bloomington, IN | $181K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.