Physician
North Augusta Pediatrics LLC
North Augusta Pediatrics LLC was paid $5.36M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoNORTH AUGUSTA PEDIATRICS LLC
NORTH AUGUSTA, SC 29860
NORTH AUGUSTA, SC 29860
33aNPI1700068293assigned 11/27/2007
33bProvider typePediatrics Physician
28Total paid$5.36M
24GClaims159,347
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#24 of 471
Median peer was paid$18K
This provider vs. median304×
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 | 24,288 | $771K | |
| 2019 | 25,279 | $857K | |
| 2020 | 24,372 | $925K | |
| 2021 | 35,115 | $1.49M | |
| 2022 | 24,857 | $821K | |
| 2023 | 15,642 | $291K | |
| 2024incomplete | 9,794 | $207K |
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 | 31% | 31,908 | 29,433 | $1.68M |
| 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 | 14% | 9,029 | 8,658 | $756K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 26,529 | 24,409 | $726K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 5,184 | 4,988 | $412K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 4,111 | 3,929 | $316K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 3,462 | 3,314 | $276K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.1% | 4,512 | 4,445 | $218K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 9,393 | 6,106 | $150K |
| 90461 | 2.3% | 6,975 | 6,471 | $126K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 9,007 | 8,793 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,158 | 1,123 | $104K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 3,205 | 3,064 | $99K |
53 more codes
| 96127 | 1.5% | 9,316 | $79K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 1,573 | $58K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 603 | $44K |
| 99381 | <1% | 250 | $25K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,591 | $20K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 156 | $19K |
| 85018 | <1% | 8,724 | $18K | |
| 96161 | <1% | 2,070 | $15K | |
| 96160 | <1% | 1,936 | $13K | |
| 81002 | <1% | 4,931 | $13K | |
| 0002A | <1% | 257 | $10K | |
| 0001A | <1% | 247 | $10K | |
| 0072A | <1% | 228 | $9K | |
| 99188 | <1% | 711 | $8K | |
| 0071A | <1% | 211 | $8K | |
| 99383 | <1% | 73 | $8K | |
| 92551 | <1% | 1,219 | $6K | |
| 99051 | <1% | 535 | $6K | |
| 87081 | <1% | 784 | $5K | |
| 99382 | <1% | 40 | $4K | |
| 0011A | <1% | 78 | $3K | |
| 99384 | <1% | 23 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 211 | $3K |
| 0012A | <1% | 64 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 90656 | <1% | 166 | $997.54 | |
| 87428 | <1% | 14 | $896.00 | |
| 0003A | <1% | 21 | $840.00 | |
| 87807 | <1% | 60 | $630.72 | |
| 0082A | <1% | 14 | $560.00 | |
| 90686 | <1% | 2,458 | $545.96 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 61 | $226.92 |
| 96380 | <1% | 13 | $208.69 | |
| 90670 | <1% | 1,116 | $206.09 | |
| 90715 | <1% | 45 | $179.04 | |
| 90651 | <1% | 186 | $120.77 | |
| 90672 | <1% | 204 | $120.17 | |
| 90698 | <1% | 1,204 | $114.19 | |
| 90685 | <1% | 126 | $18.83 | |
| 99173 | <1% | 164 | $4.61 | |
| 91301 | <1% | 93 | $0.91 | |
| 90677 | <1% | 145 | $0.29 | |
| 90680 | 0% | 335 | $0.00 | |
| 90744 | 0% | 166 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 73 | $0.00 |
| 92558 | 0% | 68 | $0.00 | |
| 91307 | 0% | 267 | $0.00 | |
| 99072 | 0% | 112 | $0.00 | |
| 90633 | 0% | 242 | $0.00 | |
| 90734 | 0% | 172 | $0.00 | |
| 91300 | 0% | 423 | $0.00 | |
| 90707 | 0% | 33 | $0.00 | |
| 90713 | 0% | 35 | $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 officialALLEN, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Estill County Chiropractic, PLLC | Irvine, KY | $371K |
| Allen's Podiatry Clinic | Hammond, LA | $271K |
| Highlands Podiatry, P.L.C. | Bristol, TN | $234K |
| Advanced Radiology of Grand Island, PC | Grand Island, NE | $133K |
| Allenmed INC. | Gilmer, TX | $5K |
| Augusta Pediatric Clinic, PC | Augusta, GA | $648.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.