Physician
York Pediatrics
York Pediatrics was paid $1.80M by Medicaid between Jan 2018 and Jul 2023, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoYORK PEDIATRICS
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1730248220assigned 12/08/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.80M
24GClaims39,954
24DCodes billed37
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in South Carolina
Rank by total paid#7 of 24
Median peer was paid$76K
This provider vs. median24×
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 | 10,157 | $406K | |
| 2019 | 9,233 | $396K | |
| 2020 | 6,425 | $283K | |
| 2021 | 5,897 | $285K | |
| 2022 | 5,904 | $301K | |
| 2023 | 2,338 | $127K |
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 | 32% | 8,704 | 8,003 | $576K |
| 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 | 15% | 2,674 | 2,495 | $264K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 1,741 | 1,713 | $174K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 1,456 | 1,430 | $160K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 1,484 | 1,465 | $146K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 5,526 | 5,403 | $127K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 1,199 | 1,182 | $110K |
| G9153 | Mapcp demonstration - physician incentive pool | 3.4% | 1,638 | 1,631 | $60K |
| 90461 | 2.4% | 2,241 | 2,204 | $44K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 2,328 | 1,164 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 2,036 | 1,908 | $30K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.4% | 109 | 28 | $26K |
25 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 956 | $8K |
| 96127 | <1% | 998 | $7K | |
| 99188 | <1% | 400 | $6K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 26 | $6K |
| 99051 | <1% | 409 | $5K | |
| 99381 | <1% | 33 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,348 | $3K |
| 83655 | <1% | 149 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | $2K |
| 81002 | <1% | 524 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 92551 | <1% | 169 | $943.64 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 26 | $560.70 |
| 87807 | <1% | 30 | $379.05 | |
| 86308 | <1% | 61 | $354.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,727 | $23.91 |
| 90658 | <1% | 344 | $15.70 | |
| 90686 | <1% | 45 | $0.11 | |
| 90734 | <1% | 51 | $0.06 | |
| 90670 | <1% | 248 | $0.06 | |
| 90715 | <1% | 12 | $0.05 | |
| 90744 | <1% | 54 | $0.03 | |
| 90633 | <1% | 95 | $0.02 | |
| 90649 | 0% | 38 | $0.00 | |
| 90698 | 0% | 26 | $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 officialAYODELE, TOKS (OFFICE MANAGER)