NP / PA
Egleston Pediatric Group
Egleston Pediatric Group was paid $398K by Medicaid between Jan 2018 and Jan 2024, across 20 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 39% of everything it billed.
33Billing provider infoEGLESTON PEDIATRIC GROUP
ATLANTA, GA 30322
ATLANTA, GA 30322
33aNPI1811041452assigned 01/22/2007
33bProvider typePrimary Care Nurse Practitioner
28Total paid$398K
24GClaims3,939
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2024
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 | 2,021 | $241K | |
| 2019 | 650 | $62K | |
| 2020 | 445 | $27K | |
| 2021 | 706 | $58K | |
| 2022 | 92 | $8K | |
| 2024incomplete | 25 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 39% | 1,823 | 1,017 | $156K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 21% | 396 | 187 | $82K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 18% | 193 | 67 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 300 | 299 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 442 | 439 | $19K |
| 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 | 3.3% | 131 | 130 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 80 | 80 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 138 | 87 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 31 | 31 | $5K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.0% | 35 | 35 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | 30 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | 25 | $3K |
8 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 48 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 19 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | $859.68 |
| 90461 | <1% | 25 | $577.27 | |
| 96127 | <1% | 36 | $187.92 | |
| 96160 | <1% | 36 | $163.95 | |
| 90686 | 0% | 113 | $0.00 | |
| 90685 | 0% | 26 | $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 officialCODY, LOUETTA (MANAGER, PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Egleston Children's Hospital at Emory University, INC. | Atlanta, GA | $222.59M |
| Scottish Rite Childrens Medical CTR | Atlanta, GA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.