Physician
Piedmont Medical Care Corporation
Piedmont Medical Care Corporation was paid $3.74M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoPIEDMONT MEDICAL CARE CORPORATION
ATLANTA, GA 30307
ATLANTA, GA 30307
33aNPI1912956046assigned 05/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.74M
24GClaims260,683
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Georgia
Rank by total paid#4 of 162
Median peer was paid$12K
This provider vs. median303×
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 | 81,160 | $543K | |
| 2019 | 85,186 | $484K | |
| 2020 | 38,455 | $308K | |
| 2021 | 12,666 | $450K | |
| 2022 | 15,128 | $636K | |
| 2023 | 15,557 | $759K | |
| 2024incomplete | 12,531 | $563K |
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 | 59% | 49,424 | 45,731 | $2.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 28,841 | 26,681 | $1.17M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 2,121 | 1,918 | $65K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 1,240 | 1,200 | $61K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 781 | 751 | $55K |
| 87428 | <1% | 533 | 526 | $35K | |
| 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% | 367 | 348 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 426 | 325 | $24K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 216 | 201 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 688 | 672 | $9K |
| 90682 | <1% | 97 | 93 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 386 | 190 | $4K |
75 more codes
| 99307 | <1% | 383 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 56 | $4K |
| 99284 | Emergency room visit (serious) | <1% | 41 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 141 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 359 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,704 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 64 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 44 | $2K |
| 90686 | <1% | 282 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 303 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 343 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $957.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 58 | $914.25 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 243 | $718.99 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 59 | $679.46 |
| 82962 | <1% | 269 | $643.12 | |
| 90715 | <1% | 35 | $413.25 | |
| 81003 | <1% | 188 | $366.89 | |
| 99201 | <1% | 15 | $345.44 | |
| 87808 | <1% | 12 | $177.96 | |
| 0002A | <1% | 16 | $125.60 | |
| 91300 | <1% | 21 | $80.00 | |
| G8482 | Influenza immunization administered or previously received | <1% | 4,022 | $72.00 |
| 81002 | <1% | 28 | $64.28 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $57.00 |
| 85018 | <1% | 13 | $37.98 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 12 | $25.37 |
| 99441 | <1% | 21 | $24.60 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12,641 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 14,106 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 6,469 | $0.00 |
| 3017F | 0% | 9,178 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 25,373 | $0.00 |
| 1036F | 0% | 19,414 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 784 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 31 | $0.00 |
| 3060F | 0% | 12 | $0.00 | |
| 1101F | 0% | 705 | $0.00 | |
| 1123F | 0% | 1,408 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 3,160 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 587 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 1,055 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 1,767 | $0.00 |
| 3048F | 0% | 126 | $0.00 | |
| 36416 | 0% | 32 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 87 | $0.00 |
| 3044F | 0% | 13 | $0.00 | |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 79 | $0.00 |
| 90698 | 0% | 42 | $0.00 | |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 28 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 48 | $0.00 |
| 90744 | 0% | 12 | $0.00 | |
| 3014F | 0% | 81 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 32,291 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15,061 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 4,781 | $0.00 |
| 4040F | 0% | 1,163 | $0.00 | |
| 4004F | 0% | 3,192 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 6,130 | $0.00 |
| 2022F | 0% | 791 | $0.00 | |
| 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) | 0% | 524 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 421 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 115 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 264 | $0.00 |
| G9225 | Foot exam was not performed, reason not given | 0% | 582 | $0.00 |
| 90670 | 0% | 70 | $0.00 | |
| 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 | 0% | 13 | $0.00 |
| 99442 | 0% | 14 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| 3046F | 0% | 56 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| 99051 | 0% | 15 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 16 | $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 officialAQUINO, CHRISTY (DIRECTOR OF PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Piedmont Pediatric Physicians LLC | Newnan, GA | $4.45M |
| Piedmont Hospitalist Physicians LLC | Stockbridge, GA | $3.62M |
| Piedmont Providers LLC | Jasper, GA | $1.58M |
| Piedmont Professional Services, LLC | Stockbridge, GA | $7K |
| Piedmont Cardiology of Atlanta, LLC | Atlanta, GA | $2.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.