Physician
Oakbrook Pediatrics, PA
Oakbrook Pediatrics, PA was paid $5.47M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoOAKBROOK PEDIATRICS, PA
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
33aNPI1760456909assigned 02/15/2006
33bProvider typePediatrics Physician
28Total paid$5.47M
24GClaims105,747
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#23 of 471
Median peer was paid$18K
This provider vs. median310×
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 | 14,420 | $627K | |
| 2019 | 13,106 | $604K | |
| 2020 | 11,460 | $598K | |
| 2021 | 17,109 | $997K | |
| 2022 | 19,493 | $998K | |
| 2023 | 18,324 | $948K | |
| 2024incomplete | 11,835 | $697K |
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 | 32% | 17,973 | 17,009 | $1.75M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 15,537 | 14,475 | $1.06M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.4% | 14,962 | 14,733 | $512K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.3% | 5,486 | 5,340 | $507K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 5,054 | 5,023 | $506K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 2,742 | 2,700 | $271K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3.9% | 4,201 | 4,036 | $211K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.5% | 3,884 | 3,761 | $194K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 1,370 | 1,366 | $150K |
| 90461 | 1.9% | 4,756 | 4,689 | $105K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 4,131 | 4,005 | $58K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,741 | 2,641 | $47K |
41 more codes
| 87449 | <1% | 1,879 | $25K | |
| 83655 | <1% | 943 | $12K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 282 | $12K |
| 99460 | <1% | 104 | $9K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 201 | $5K |
| 85018 | <1% | 2,001 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 61 | $4K |
| 0072A | <1% | 82 | $3K | |
| 0071A | <1% | 79 | $3K | |
| 87807 | <1% | 238 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 254 | $2K |
| 99383 | <1% | 18 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 96160 | <1% | 132 | $1K | |
| 87400 | <1% | 54 | $880.66 | |
| 96127 | <1% | 171 | $832.80 | |
| 99462 | <1% | 14 | $536.23 | |
| 81002 | <1% | 169 | $514.27 | |
| 80061 | Lipid panel | <1% | 14 | $157.87 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $120.18 |
| 90686 | <1% | 3,039 | $20.90 | |
| 90633 | 0% | 1,333 | $0.00 | |
| 90648 | 0% | 2,195 | $0.00 | |
| 90670 | 0% | 2,773 | $0.00 | |
| 90734 | 0% | 320 | $0.00 | |
| 90710 | 0% | 70 | $0.00 | |
| 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) | 0% | 395 | $0.00 |
| 90715 | 0% | 72 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90707 | 0% | 25 | $0.00 | |
| 90672 | 0% | 12 | $0.00 | |
| 90677 | 0% | 505 | $0.00 | |
| 90680 | 0% | 1,905 | $0.00 | |
| 90698 | 0% | 1,053 | $0.00 | |
| 90651 | 0% | 435 | $0.00 | |
| 90723 | 0% | 1,522 | $0.00 | |
| 90744 | 0% | 264 | $0.00 | |
| 90696 | 0% | 98 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 90716 | 0% | 39 | $0.00 | |
| 91307 | 0% | 109 | $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 officialTILLMAN, MARY KATE (PRESIDENT)