Childrens Medical Center
Childrens Medical Center was paid $17.12M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoCHILDRENS MEDICAL CENTER
GREENVILLE, SC 29615
GREENVILLE, SC 29615
33aNPI1881763068assigned 11/06/2006
33bProvider typeSpecialist
28Total paid$17.12M
24GClaims384,115
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#1 of 89
Median peer was paid$41K
This provider vs. median417×
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 | 35,782 | $1.33M | |
| 2019 | 37,399 | $1.50M | |
| 2020 | 45,104 | $1.92M | |
| 2021 | 63,719 | $2.91M | |
| 2022 | 72,671 | $3.27M | |
| 2023 | 72,078 | $3.37M | |
| 2024incomplete | 57,362 | $2.83M |
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 | 26% | 70,783 | 64,140 | $4.47M |
| 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 | 26% | 46,343 | 43,155 | $4.41M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 11,865 | 11,709 | $1.14M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 11,392 | 11,117 | $1.04M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 31,173 | 30,397 | $983K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 8,906 | 8,567 | $806K |
| G9153 | Mapcp demonstration - physician incentive pool | 3.6% | 14,527 | 14,452 | $618K |
| 87428 | 3.5% | 10,356 | 10,033 | $601K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 5,795 | 5,654 | $571K |
| 97802 | 3.2% | 25,008 | 24,659 | $547K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 4,983 | 3,519 | $343K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 34,085 | 32,728 | $244K |
53 more codes
| 90461 | 1.2% | 14,754 | $209K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 14,909 | $198K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 2,160 | $186K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 7,492 | $108K |
| 99460 | <1% | 1,246 | $102K | |
| 87070 | <1% | 11,014 | $78K | |
| 96127 | <1% | 11,221 | $72K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,440 | $68K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,035 | $65K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 413 | $58K |
| 90837 | Psychotherapy session, about an hour | <1% | 281 | $29K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 250 | $26K |
| 99188 | <1% | 1,557 | $23K | |
| 82465 | <1% | 6,320 | $23K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,553 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,628 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 454 | $17K |
| 96161 | <1% | 2,073 | $16K | |
| 81003 | <1% | 4,340 | $9K | |
| 87807 | <1% | 555 | $6K | |
| 99402 | <1% | 78 | $4K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 87 | $3K |
| 80061 | Lipid panel | <1% | 263 | $3K |
| 54150 | <1% | 29 | $2K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, 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; 5-10 minutes of medical discussion | <1% | 239 | $2K |
| 99462 | <1% | 68 | $2K | |
| 0071A | <1% | 36 | $1K | |
| 0072A | <1% | 31 | $1K | |
| 90670 | <1% | 3,183 | $803.16 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 91 | $533.25 |
| 90677 | <1% | 526 | $514.50 | |
| 90686 | <1% | 4,213 | $498.35 | |
| 92583 | <1% | 13 | $330.36 | |
| 90651 | <1% | 115 | $283.01 | |
| 94760 | <1% | 239 | $205.78 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $192.70 |
| 90656 | <1% | 399 | $187.22 | |
| 90723 | <1% | 1,927 | $173.05 | |
| 99070 | <1% | 42 | $148.35 | |
| 90734 | <1% | 128 | $145.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 44 | $90.60 |
| 90647 | <1% | 1,849 | $57.39 | |
| 90633 | <1% | 1,051 | $35.95 | |
| 99000 | <1% | 729 | $2.51 | |
| 36416 | <1% | 7,474 | $1.05 | |
| 90716 | 0% | 26 | $0.00 | |
| 90696 | 0% | 24 | $0.00 | |
| 91307 | 0% | 64 | $0.00 | |
| 90681 | 0% | 150 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90715 | 0% | 26 | $0.00 | |
| 99173 | 0% | 12 | $0.00 | |
| 90658 | 0% | 21 | $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 officialCOOPER, ALAN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Gold Optical | Paterson, NJ | $60K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.