Carlton, Marguerite

Carlton, Marguerite was paid $14K by Medicaid between Jul 2019 and Oct 2019, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoCARLTON, MARGUERITE
CAMDEN, SC 29020

33aNPI1790758803assigned 02/09/2006

33bProvider typePediatrics Physician

28Total paid$14K

24GClaims432

24DCodes billed10

24AFirst – last monthJul 2019 – Oct 2019

Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#268 of 471

Median peer was paid$18K

This provider vs. median0.8×

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
2019	432	$14K

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	36%	70	68	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	22%	27	27	$3K
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	9.1%	12	12	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	9.0%	12	12	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	6.5%	71	71	$895.31
97802		6.1%	33	33	$841.83
85025	Blood count; complete (CBC), automated, and automated differential WBC count	4.0%	82	82	$551.86
96127		3.3%	63	63	$455.04
90461		2.7%	15	15	$378.30
81002		<1%	47	46	$127.37

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.