Physician
Santo Nino Pediatric Clinic, PC
Santo Nino Pediatric Clinic, PC was paid $277K by Medicaid between Jan 2018 and Jan 2022, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoSANTO NINO PEDIATRIC CLINIC, PC
AUGUSTA, GA 30904
AUGUSTA, GA 30904
33aNPI1760431605assigned 05/08/2006
33bProvider typePediatrics Physician
28Total paid$277K
24GClaims6,471
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#76 of 220
Median peer was paid$57K
This provider vs. median4.8×
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 | 1,877 | $77K | |
| 2019 | 1,338 | $56K | |
| 2020 | 1,493 | $58K | |
| 2021 | 1,627 | $81K | |
| 2022 | 136 | $6K |
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 | 53% | 1,555 | 1,335 | $148K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 509 | 448 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.2% | 589 | 532 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 219 | 218 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 111 | 102 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 657 | 625 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 1,243 | 942 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 154 | 135 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 372 | 178 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 277 | 257 | $4K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.3% | 147 | 135 | $3K |
| 90461 | <1% | 84 | 68 | $1K |
4 more codes
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 officialNAFARRETE, ALBERTO (OFFICE MANAGER)