Physician
The Pediatric Clinic, P.A.
The Pediatric Clinic, P.A. was paid $4.95M by Medicaid between Jan 2018 and Sep 2023, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoTHE PEDIATRIC CLINIC, P.A.
ORANGEBURG, SC 29115
ORANGEBURG, SC 29115
33aNPI1811995111assigned 07/11/2005
33bProvider typePediatrics Physician
28Total paid$4.95M
24GClaims129,106
24DCodes billed63
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#26 of 471
Median peer was paid$18K
This provider vs. median280×
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 | 22,022 | $735K | |
| 2019 | 17,413 | $622K | |
| 2020 | 15,327 | $560K | |
| 2021 | 27,006 | $995K | |
| 2022 | 27,771 | $1.20M | |
| 2023 | 19,567 | $841K |
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 | 32% | 26,209 | 24,398 | $1.59M |
| 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 | 13% | 8,052 | 7,528 | $648K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 4,319 | 4,288 | $390K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 4,145 | 3,911 | $365K |
| 87428 | 7.2% | 6,299 | 6,009 | $355K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.8% | 12,805 | 12,623 | $335K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 3,269 | 3,244 | $278K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.0% | 8,430 | 8,153 | $148K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 2,932 | 2,842 | $136K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 1,361 | 1,337 | $127K |
| G9153 | Mapcp demonstration - physician incentive pool | 2.4% | 2,961 | 2,759 | $117K |
| 90461 | 1.9% | 4,832 | 4,773 | $94K |
51 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 5,229 | $69K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,180 | $44K |
| 87430 | <1% | 3,200 | $43K | |
| 99381 | <1% | 339 | $35K | |
| 87400 | <1% | 2,784 | $32K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,791 | $21K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 825 | $16K |
| 96127 | <1% | 1,545 | $13K | |
| 95117 | <1% | 1,548 | $13K | |
| 99071 | <1% | 3,645 | $11K | |
| 83655 | <1% | 690 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,119 | $8K |
| 0072A | <1% | 204 | $8K | |
| 87807 | <1% | 662 | $8K | |
| 0071A | <1% | 178 | $7K | |
| 99174 | <1% | 1,106 | $6K | |
| 80061 | Lipid panel | <1% | 470 | $5K |
| 0002A | <1% | 92 | $4K | |
| 99441 | <1% | 279 | $4K | |
| 0001A | <1% | 90 | $3K | |
| 99188 | <1% | 149 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 139 | $2K |
| 97802 | <1% | 1,345 | $2K | |
| 81003 | <1% | 507 | $1K | |
| 96161 | <1% | 88 | $709.09 | |
| 0081A | <1% | 13 | $520.00 | |
| 90620 | <1% | 12 | $188.00 | |
| 90473 | <1% | 38 | $140.76 | |
| D1330 | <1% | 393 | $133.84 | |
| 92551 | <1% | 38 | $62.46 | |
| 90686 | <1% | 2,518 | $40.48 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,893 | $0.00 |
| 36416 | 0% | 563 | $0.00 | |
| 90723 | 0% | 1,343 | $0.00 | |
| 90647 | 0% | 1,352 | $0.00 | |
| 90696 | 0% | 133 | $0.00 | |
| 90716 | 0% | 119 | $0.00 | |
| 91307 | 0% | 369 | $0.00 | |
| 90651 | 0% | 197 | $0.00 | |
| 91305 | 0% | 21 | $0.00 | |
| 90633 | 0% | 825 | $0.00 | |
| 90670 | 0% | 2,059 | $0.00 | |
| 90681 | 0% | 707 | $0.00 | |
| 90700 | 0% | 71 | $0.00 | |
| 90710 | 0% | 135 | $0.00 | |
| 90672 | 0% | 136 | $0.00 | |
| 90707 | 0% | 79 | $0.00 | |
| 91308 | 0% | 27 | $0.00 | |
| 91300 | 0% | 179 | $0.00 | |
| 90734 | 0% | 55 | $0.00 | |
| 90715 | 0% | 13 | $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 officialTHOMAS, PEGGY (OFFICE MANAGER)