Clinic
Beaufort Pediatrics, P.A.
Beaufort Pediatrics, P.A. was paid $5.31M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoBEAUFORT PEDIATRICS, P.A.
BEAUFORT, SC 29902
BEAUFORT, SC 29902
33aNPI1720140825assigned 12/14/2006
33bProvider typeRural Health Clinic/Center
28Total paid$5.31M
24GClaims135,270
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Carolina
Rank by total paid#4 of 81
Median peer was paid$302K
This provider vs. median18×
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 | 25,223 | $955K | |
| 2019 | 19,983 | $802K | |
| 2020 | 19,296 | $694K | |
| 2021 | 20,274 | $724K | |
| 2022 | 21,421 | $838K | |
| 2023 | 17,076 | $705K | |
| 2024incomplete | 11,997 | $598K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 20,624 | 19,968 | $1.57M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 18,310 | 17,555 | $968K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 6,587 | 6,502 | $516K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 5,931 | 5,874 | $469K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.5% | 5,379 | 5,287 | $454K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 5,312 | 5,268 | $394K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 13,488 | 13,441 | $317K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.0% | 1,476 | 1,127 | $157K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 2.8% | 1,920 | 1,601 | $151K |
| 90461 | 1.5% | 4,238 | 4,224 | $81K | |
| 99381 | <1% | 468 | 448 | $40K | |
| 96127 | <1% | 5,541 | 5,391 | $35K |
38 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,672 | $34K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,845 | $29K |
| 87428 | <1% | 331 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,274 | $16K |
| 96160 | <1% | 2,255 | $14K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 178 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 219 | $11K |
| 96161 | <1% | 1,533 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82 | $3K |
| 99188 | <1% | 162 | $3K | |
| 99383 | <1% | 28 | $3K | |
| 99384 | <1% | 15 | $2K | |
| 85018 | <1% | 825 | $2K | |
| 81002 | <1% | 472 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 99401 | <1% | 7,045 | $698.16 | |
| 94760 | <1% | 47 | $3.08 | |
| 36416 | 0% | 707 | $0.00 | |
| 90651 | 0% | 1,232 | $0.00 | |
| 90696 | 0% | 271 | $0.00 | |
| 90686 | 0% | 3,647 | $0.00 | |
| 90723 | 0% | 1,700 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90647 | 0% | 1,331 | $0.00 | |
| 90620 | 0% | 688 | $0.00 | |
| 90677 | 0% | 92 | $0.00 | |
| 90716 | 0% | 91 | $0.00 | |
| 99173 | 0% | 9,181 | $0.00 | |
| 90734 | 0% | 1,050 | $0.00 | |
| 90670 | 0% | 2,246 | $0.00 | |
| 90710 | 0% | 295 | $0.00 | |
| 90633 | 0% | 1,124 | $0.00 | |
| 90700 | 0% | 121 | $0.00 | |
| 90681 | 0% | 493 | $0.00 | |
| 90715 | 0% | 332 | $0.00 | |
| 90672 | 0% | 294 | $0.00 | |
| 90707 | 0% | 77 | $0.00 | |
| 90685 | 0% | 17 | $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 officialMARTIN, WILLIAM (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.