Clinic
Cherokee Pediatric Associates, LLC
Cherokee Pediatric Associates, LLC was paid $5.17M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoCHEROKEE PEDIATRIC ASSOCIATES, LLC
GAFFNEY, SC 29340
GAFFNEY, SC 29340
33aNPI1841344280assigned 01/23/2007
33bProvider typeRural Health Clinic/Center
28Total paid$5.17M
24GClaims122,675
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in South Carolina
Rank by total paid#5 of 81
Median peer was paid$302K
This provider vs. median17×
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 | 16,720 | $533K | |
| 2019 | 18,304 | $645K | |
| 2020 | 17,986 | $656K | |
| 2021 | 22,229 | $855K | |
| 2022 | 18,168 | $817K | |
| 2023 | 15,677 | $838K | |
| 2024incomplete | 13,591 | $824K |
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 | 54% | 50,231 | 43,562 | $2.80M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 8.1% | 4,397 | 3,918 | $417K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 4,268 | 4,256 | $353K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 3,764 | 3,747 | $313K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 8,822 | 8,420 | $301K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 3,179 | 3,175 | $286K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 2,983 | 2,947 | $232K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 8,170 | 8,107 | $194K |
| 90461 | 1.3% | 3,529 | 3,516 | $67K | |
| 92552 | 1.1% | 6,217 | 6,208 | $59K | |
| 96127 | <1% | 6,890 | 6,694 | $48K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,078 | 6,066 | $43K |
23 more codes
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 544 | $30K |
| 99381 | <1% | 82 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 109 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 48 | $4K |
| 99051 | <1% | 351 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12 | $883.55 |
| 90710 | 0% | 893 | $0.00 | |
| 90671 | 0% | 357 | $0.00 | |
| 90670 | 0% | 1,881 | $0.00 | |
| 90633 | 0% | 1,510 | $0.00 | |
| 90700 | 0% | 268 | $0.00 | |
| 90734 | 0% | 1,006 | $0.00 | |
| 99173 | 0% | 202 | $0.00 | |
| 90715 | 0% | 423 | $0.00 | |
| 90621 | 0% | 163 | $0.00 | |
| 90723 | 0% | 1,044 | $0.00 | |
| 90647 | 0% | 1,432 | $0.00 | |
| 90680 | 0% | 1,264 | $0.00 | |
| 90651 | 0% | 959 | $0.00 | |
| 90697 | 0% | 489 | $0.00 | |
| 90696 | 0% | 478 | $0.00 | |
| 90686 | 0% | 608 | $0.00 | |
| 90716 | 0% | 24 | $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 officialCARLING, DAREN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Cherokee Pediatric Associates, LLC | Blacksburg, SC | $1.57M |
| Cherokee Pediatric Associates | Blacksburg, SC | $1.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.