Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OAKBROOK PEDIATRICS, PA

NPI: 1760456909 · SUMMERVILLE, SC 29485 · Pediatrics Physician · NPI assigned 02/15/2006

$5.47M
Total Medicaid Paid
105,747
Total Claims
102,255
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTILLMAN, MARY KATE (PRESIDENT)
NPI Enumeration Date02/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 11,835 $697K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,973 17,009 $1.75M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,537 14,475 $1.06M
90460 Immunization administration through 18 years of age via any route, first or only component 14,962 14,733 $512K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,486 5,340 $507K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,054 5,023 $506K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 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 4,201 4,036 $211K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,884 3,761 $194K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,370 1,366 $150K
90461 4,756 4,689 $105K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,131 4,005 $58K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,741 2,641 $47K
87449 1,879 1,803 $25K
83655 943 934 $12K
G9153 Mapcp demonstration - physician incentive pool 282 280 $12K
99460 104 102 $9K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 201 197 $5K
85018 2,001 1,979 $5K
99238 Hospital discharge day management, 30 minutes or less 61 61 $4K
0072A 82 82 $3K
0071A 79 79 $3K
87807 238 230 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 254 252 $2K
99383 18 17 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $2K
96160 132 129 $1K
87400 54 53 $880.66
96127 171 171 $832.80
99462 14 14 $536.23
81002 169 166 $514.27
80061 Lipid panel 14 13 $157.87
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $120.18
90686 3,039 2,992 $20.90
90633 1,333 1,322 $0.00
90648 2,195 2,162 $0.00
90670 2,773 2,728 $0.00
90734 320 316 $0.00
90710 70 69 $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) 395 360 $0.00
90715 72 71 $0.00
90700 12 12 $0.00
90707 25 24 $0.00
90672 12 12 $0.00
90677 505 491 $0.00
90680 1,905 1,877 $0.00
90698 1,053 1,031 $0.00
90651 435 423 $0.00
90723 1,522 1,493 $0.00
90744 264 258 $0.00
90696 98 97 $0.00
90620 13 13 $0.00
90716 39 37 $0.00
91307 109 103 $0.00