Physician
Athens Kids Specialists, PC
Athens Kids Specialists, PC was paid $5.20M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoATHENS KIDS SPECIALISTS, PC
ATHENS, GA 30606
ATHENS, GA 30606
33aNPI1801955018assigned 12/06/2006
33bProvider typePediatrics Physician
28Total paid$5.20M
24GClaims147,099
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#18 of 220
Median peer was paid$57K
This provider vs. median91×
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 | 22,324 | $831K | |
| 2019 | 24,116 | $839K | |
| 2020 | 22,992 | $749K | |
| 2021 | 22,083 | $792K | |
| 2022 | 20,943 | $771K | |
| 2023 | 21,029 | $734K | |
| 2024incomplete | 13,612 | $489K |
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 | 34% | 24,931 | 21,225 | $1.75M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.8% | 13,422 | 12,752 | $511K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.2% | 12,641 | 11,393 | $478K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 4,367 | 4,313 | $449K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 4,158 | 4,080 | $427K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 3,432 | 3,360 | $383K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 4,723 | 3,496 | $364K |
| 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 | 6.4% | 3,241 | 3,021 | $333K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.5% | 11,769 | 10,929 | $180K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.3% | 11,052 | 5,337 | $169K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,762 | 2,315 | $30K |
| 99381 | <1% | 321 | 184 | $19K |
46 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 974 | $17K |
| 96160 | <1% | 3,903 | $15K | |
| 96127 | <1% | 2,912 | $13K | |
| 96161 | <1% | 2,588 | $8K | |
| 99173 | <1% | 3,638 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 172 | $7K |
| 87807 | <1% | 421 | $6K | |
| 0071A | <1% | 135 | $5K | |
| 0002A | <1% | 124 | $5K | |
| 0001A | <1% | 121 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 450 | $5K |
| 0072A | <1% | 101 | $4K | |
| 92551 | <1% | 1,097 | $4K | |
| 85018 | <1% | 965 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 134 | $2K |
| 94761 | <1% | 555 | $2K | |
| 81003 | <1% | 748 | $2K | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 934 | $287.72 |
| 86580 | <1% | 32 | $255.60 | |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 175 | $66.10 |
| 90670 | <1% | 2,778 | $58.23 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 95 | $49.65 |
| 97802 | <1% | 6,904 | $21.69 | |
| 97803 | <1% | 3,908 | $3.47 | |
| 36416 | <1% | 936 | $2.80 | |
| 91300 | <1% | 194 | $1.32 | |
| 90681 | 0% | 809 | $0.00 | |
| 90648 | 0% | 195 | $0.00 | |
| 90734 | 0% | 999 | $0.00 | |
| 90715 | 0% | 271 | $0.00 | |
| 90633 | 0% | 1,348 | $0.00 | |
| 90700 | 0% | 192 | $0.00 | |
| 90707 | 0% | 150 | $0.00 | |
| 90710 | 0% | 133 | $0.00 | |
| 90649 | 0% | 14 | $0.00 | |
| 90685 | 0% | 45 | $0.00 | |
| 90647 | 0% | 1,460 | $0.00 | |
| 90651 | 0% | 1,164 | $0.00 | |
| 90686 | 0% | 5,390 | $0.00 | |
| 90723 | 0% | 2,089 | $0.00 | |
| 90696 | 0% | 126 | $0.00 | |
| 90620 | 0% | 550 | $0.00 | |
| 91307 | 0% | 187 | $0.00 | |
| 90716 | 0% | 94 | $0.00 | |
| 90619 | 0% | 56 | $0.00 | |
| 90680 | 0% | 14 | $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 officialLOPEZ, FELIX (PRESIDENT)