Physician
Vidalia Children's Center LLC
Vidalia Children's Center LLC was paid $4.15M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoVIDALIA CHILDREN'S CENTER LLC
VIDALIA, GA 30474
VIDALIA, GA 30474
33aNPI1679705115assigned 08/18/2009
33bProvider typePediatrics Physician
28Total paid$4.15M
24GClaims108,361
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#24 of 220
Median peer was paid$57K
This provider vs. median72×
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 | 22,780 | $872K | |
| 2019 | 24,266 | $881K | |
| 2020 | 12,826 | $426K | |
| 2021 | 15,622 | $529K | |
| 2022 | 15,804 | $618K | |
| 2023 | 11,343 | $520K | |
| 2024incomplete | 5,720 | $307K |
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 | 29% | 19,595 | 18,127 | $1.19M |
| 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 | 23% | 11,892 | 11,120 | $974K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 5,037 | 4,875 | $452K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.4% | 4,755 | 4,446 | $392K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 8,020 | 7,508 | $376K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 2,457 | 2,387 | $230K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 901 | 884 | $91K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 4,936 | 3,337 | $71K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 2,676 | 2,629 | $56K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 3,537 | 3,398 | $53K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 1,224 | 1,169 | $43K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,222 | 1,197 | $30K |
54 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 823 | $28K |
| 85018 | <1% | 5,879 | $22K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,765 | $18K |
| 1126F | <1% | 3,311 | $15K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,136 | $15K |
| 83655 | <1% | 854 | $9K | |
| 90461 | <1% | 1,245 | $7K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,124 | $6K |
| 87807 | <1% | 360 | $6K | |
| 96160 | <1% | 1,092 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 71 | $5K |
| 99188 | <1% | 289 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 368 | $4K |
| 99173 | <1% | 3,375 | $4K | |
| 99408 | <1% | 142 | $4K | |
| 96161 | <1% | 1,207 | $4K | |
| 90670 | <1% | 3,442 | $4K | |
| 96127 | <1% | 546 | $3K | |
| 99460 | <1% | 31 | $3K | |
| 90686 | <1% | 1,736 | $3K | |
| 92552 | <1% | 795 | $2K | |
| 90716 | <1% | 750 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 40 | $2K |
| 90647 | <1% | 2,346 | $2K | |
| 90723 | <1% | 2,549 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 32 | $2K |
| 90633 | <1% | 963 | $2K | |
| 90707 | <1% | 765 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 90 | $2K |
| 90473 | <1% | 67 | $1K | |
| 90651 | <1% | 264 | $1K | |
| 82465 | <1% | 152 | $1K | |
| 88720 | <1% | 149 | $676.28 | |
| 95117 | <1% | 39 | $627.06 | |
| 90474 | <1% | 33 | $519.20 | |
| 90681 | <1% | 568 | $518.19 | |
| 36416 | <1% | 638 | $451.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $316.32 |
| 99421 | <1% | 18 | $257.12 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 114 | $229.50 |
| 81002 | <1% | 54 | $179.40 | |
| 81003 | <1% | 12 | $32.68 | |
| 90677 | <1% | 160 | $0.06 | |
| 1036F | 0% | 107 | $0.00 | |
| 3008F | 0% | 178 | $0.00 | |
| 90688 | 0% | 196 | $0.00 | |
| 90696 | 0% | 27 | $0.00 | |
| 90715 | 0% | 26 | $0.00 | |
| 1160F | 0% | 384 | $0.00 | |
| 1159F | 0% | 384 | $0.00 | |
| 90685 | 0% | 88 | $0.00 | |
| 3078F | 0% | 84 | $0.00 | |
| 90687 | 0% | 74 | $0.00 | |
| 90734 | 0% | 147 | $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 officialOSTEEN, TONY (CFO)
Parent organizationSOUTHEADT REGIONAL PRIMARY CARE CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Vidalia Surgical Associates, LLC | Vidalia, GA | $409.14 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.