Medicaid Provider Spending

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

VIDALIA CHILDREN'S CENTER LLC

NPI: 1679705115 · VIDALIA, GA 30474 · Pediatrics Physician · NPI assigned 08/18/2009

$4.15M
Total Medicaid Paid
108,361
Total Claims
101,240
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOSTEEN, TONY (CFO)
Parent OrganizationSOUTHEADT REGIONAL PRIMARY CARE CORPORATION
NPI Enumeration Date08/18/2009

Related Entities

Other providers sharing the same authorized official: OSTEEN, TONY

ProviderCityStateTotal Paid
VIDALIA SURGICAL ASSOCIATES, LLC VIDALIA GA $409.14

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,720 $307K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,595 18,127 $1.19M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,892 11,120 $974K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,037 4,875 $452K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,755 4,446 $392K
90460 Immunization administration through 18 years of age via any route, first or only component 8,020 7,508 $376K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,457 2,387 $230K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 901 884 $91K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,936 3,337 $71K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,676 2,629 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,537 3,398 $53K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,224 1,169 $43K
90472 Immunization administration, each additional vaccine (list separately) 1,222 1,197 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 823 788 $28K
85018 5,879 5,732 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,765 1,651 $18K
1126F 3,311 3,114 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,136 1,081 $15K
83655 854 821 $9K
90461 1,245 1,212 $7K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,124 2,066 $6K
87807 360 336 $6K
96160 1,092 1,074 $5K
99238 Hospital discharge day management, 30 minutes or less 71 71 $5K
99188 289 277 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 368 308 $4K
99173 3,375 3,259 $4K
99408 142 141 $4K
96161 1,207 1,024 $4K
90670 3,442 3,292 $4K
96127 546 542 $3K
99460 31 31 $3K
90686 1,736 1,689 $3K
92552 795 756 $2K
90716 750 715 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 40 40 $2K
90647 2,346 2,244 $2K
90723 2,549 2,432 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 32 32 $2K
90633 963 910 $2K
90707 765 730 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 90 86 $2K
90473 67 66 $1K
90651 264 258 $1K
82465 152 151 $1K
88720 149 124 $676.28
95117 39 24 $627.06
90474 33 32 $519.20
90681 568 543 $518.19
36416 638 606 $451.88
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 16 $316.32
99421 18 16 $257.12
G0444 Annual depression screening, 5 to 15 minutes 114 111 $229.50
81002 54 49 $179.40
81003 12 12 $32.68
90677 160 158 $0.06
1036F 107 90 $0.00
3008F 178 176 $0.00
90688 196 189 $0.00
90696 27 25 $0.00
90715 26 26 $0.00
1160F 384 339 $0.00
1159F 384 339 $0.00
90685 88 73 $0.00
3078F 84 83 $0.00
90687 74 73 $0.00
90734 147 130 $0.00