Physician
Palmetto Pediatrics, PA
Palmetto Pediatrics, PA was paid $9.01M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoPALMETTO PEDIATRICS, PA
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
33aNPI1861560765assigned 12/01/2006
33bProvider typePediatrics Physician
28Total paid$9.01M
24GClaims179,838
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#12 of 471
Median peer was paid$18K
This provider vs. median511×
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 | 28,245 | $1.11M | |
| 2019 | 24,479 | $1.05M | |
| 2020 | 21,958 | $1.04M | |
| 2021 | 27,715 | $1.47M | |
| 2022 | 28,824 | $1.52M | |
| 2023 | 25,223 | $1.50M | |
| 2024incomplete | 23,394 | $1.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 25,797 | 24,374 | $2.57M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 29,582 | 27,898 | $2.02M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 24,739 | 24,314 | $808K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 8,326 | 7,817 | $782K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 7,473 | 7,385 | $752K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 6,513 | 6,429 | $658K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 3,655 | 3,616 | $412K |
| 90461 | 1.9% | 7,671 | 7,532 | $170K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 2,543 | 2,479 | $133K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.4% | 2,896 | 2,814 | $122K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 2,556 | 2,465 | $106K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.0% | 4,091 | 3,972 | $91K |
54 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,989 | $84K |
| 99460 | <1% | 604 | $53K | |
| 99051 | <1% | 4,012 | $47K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 644 | $44K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 977 | $27K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 334 | $26K |
| 83655 | <1% | 1,660 | $21K | |
| 92551 | <1% | 3,246 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 794 | $11K |
| 99462 | <1% | 323 | $11K | |
| 85018 | <1% | 3,448 | $8K | |
| 99442 | <1% | 192 | $5K | |
| 69210 | <1% | 134 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 601 | $4K |
| 0001A | <1% | 103 | $4K | |
| 0072A | <1% | 96 | $4K | |
| 0002A | <1% | 86 | $3K | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 246 | $3K |
| 0071A | <1% | 53 | $2K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 27 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 73 | $2K |
| 99384 | <1% | 12 | $1K | |
| 87634 | <1% | 16 | $979.36 | |
| 96127 | <1% | 203 | $942.08 | |
| 90651 | <1% | 1,717 | $936.83 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 60 | $699.54 |
| 81000 | <1% | 193 | $699.23 | |
| 90677 | <1% | 1,048 | $545.91 | |
| 99441 | <1% | 13 | $192.92 | |
| 90621 | <1% | 786 | $162.11 | |
| 90686 | <1% | 5,855 | $73.51 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $59.63 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 750 | $25.00 |
| 90685 | <1% | 765 | $19.32 | |
| 90648 | <1% | 100 | $4.73 | |
| 90707 | 0% | 1,934 | $0.00 | |
| 91300 | 0% | 102 | $0.00 | |
| 90715 | 0% | 582 | $0.00 | |
| 90670 | 0% | 3,756 | $0.00 | |
| 90633 | 0% | 2,173 | $0.00 | |
| 90734 | 0% | 735 | $0.00 | |
| 99072 | 0% | 542 | $0.00 | |
| 90700 | 0% | 121 | $0.00 | |
| 99173 | 0% | 62 | $0.00 | |
| 90716 | 0% | 1,880 | $0.00 | |
| 90696 | 0% | 379 | $0.00 | |
| 90698 | 0% | 3,310 | $0.00 | |
| 90744 | 0% | 1,640 | $0.00 | |
| 90680 | 0% | 2,772 | $0.00 | |
| 90619 | 0% | 323 | $0.00 | |
| 90656 | 0% | 376 | $0.00 | |
| 91307 | 0% | 89 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 90688 | 0% | 30 | $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 officialCHODNICKI, SHARON (PRACTICE MANAGER)