Physician
Gulf Coast Abc Pediatrics, INC.
Gulf Coast Abc Pediatrics, INC. was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoGULF COAST ABC PEDIATRICS, INC.
BILOXI, MS 39532
BILOXI, MS 39532
33aNPI1720302508assigned 03/23/2010
33bProvider typePediatrics Physician
28Total paid$2.15M
24GClaims96,065
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Mississippi
Rank by total paid#24 of 86
Median peer was paid$221K
This provider vs. median9.7×
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 | 18,434 | $348K | |
| 2019 | 18,674 | $388K | |
| 2020 | 13,518 | $292K | |
| 2021 | 16,247 | $360K | |
| 2022 | 12,487 | $343K | |
| 2023 | 8,020 | $231K | |
| 2024incomplete | 8,685 | $184K |
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% | 8,915 | 6,645 | $643K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 7,642 | 5,506 | $353K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 3,074 | 2,348 | $218K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 3,040 | 2,220 | $199K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 2,069 | 1,472 | $141K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 2,155 | 1,484 | $140K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 3,279 | 2,421 | $93K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 8,317 | 5,901 | $80K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.2% | 4,737 | 3,323 | $69K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 2,137 | 1,847 | $60K |
| 92551 | 1.8% | 6,065 | 4,143 | $39K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 2,101 | 1,623 | $22K |
43 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,968 | $17K |
| 99442 | <1% | 525 | $15K | |
| 99173 | <1% | 6,762 | $10K | |
| 83655 | <1% | 1,340 | $9K | |
| 96161 | <1% | 2,237 | $8K | |
| 90474 | <1% | 980 | $7K | |
| 96160 | <1% | 3,256 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 458 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 392 | $3K |
| 99382 | <1% | 24 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 150 | $1K |
| 99441 | <1% | 38 | $977.00 | |
| 99051 | <1% | 74 | $945.58 | |
| 0072A | <1% | 40 | $828.73 | |
| 0071A | <1% | 47 | $564.03 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 514 | $473.90 |
| 90651 | <1% | 661 | $376.03 | |
| 90716 | <1% | 732 | $328.01 | |
| 99401 | <1% | 79 | $325.00 | |
| 85018 | <1% | 421 | $248.58 | |
| 81003 | <1% | 214 | $213.29 | |
| 90707 | <1% | 779 | $192.01 | |
| 90633 | <1% | 920 | $178.00 | |
| 90656 | <1% | 516 | $166.02 | |
| 90480 | <1% | 39 | $137.36 | |
| 90734 | <1% | 304 | $130.01 | |
| 90686 | <1% | 1,210 | $102.84 | |
| 90696 | <1% | 121 | $70.50 | |
| 90715 | <1% | 166 | $64.00 | |
| 90655 | <1% | 236 | $38.00 | |
| 90670 | <1% | 1,778 | $0.02 | |
| 90648 | <1% | 1,651 | $0.01 | |
| 90688 | <1% | 644 | $0.01 | |
| 99072 | 0% | 6,885 | $0.00 | |
| 90700 | 0% | 57 | $0.00 | |
| 90723 | 0% | 1,187 | $0.00 | |
| 90680 | 0% | 943 | $0.00 | |
| 3352F | 0% | 1,070 | $0.00 | |
| 3008F | 0% | 2,775 | $0.00 | |
| 91307 | 0% | 95 | $0.00 | |
| 90698 | 0% | 77 | $0.00 | |
| 90744 | 0% | 77 | $0.00 | |
| 90677 | 0% | 92 | $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 officialGRAYSON, JENNIFER (MD/OWNER)