Palmetto Pediatrics of Conway
Palmetto Pediatrics of Conway was paid $3.99M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoPALMETTO PEDIATRICS OF CONWAY
CONWAY, SC 29526
CONWAY, SC 29526
33aNPI1962481531assigned 01/12/2006
33bProvider typeSpecialist
28Total paid$3.99M
24GClaims98,022
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#4 of 89
Median peer was paid$41K
This provider vs. median97×
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 | 14,482 | $448K | |
| 2019 | 12,597 | $448K | |
| 2020 | 12,053 | $538K | |
| 2021 | 16,218 | $704K | |
| 2022 | 16,249 | $663K | |
| 2023 | 17,207 | $722K | |
| 2024incomplete | 9,216 | $464K |
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% | 33,901 | 26,561 | $2.17M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,386 | 4,333 | $423K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 4,427 | 4,312 | $394K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.6% | 8,931 | 8,734 | $304K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 11,120 | 10,303 | $142K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 2,855 | 2,680 | $136K |
| 90461 | 2.5% | 5,375 | 5,265 | $101K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 906 | 896 | $87K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 5,481 | 5,127 | $70K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 410 | 408 | $44K |
| 87428 | <1% | 554 | 528 | $32K | |
| 87807 | <1% | 2,172 | 2,023 | $24K |
30 more codes
| 90677 | <1% | 454 | $17K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 115 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 124 | $7K |
| 99460 | <1% | 98 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 83 | $6K |
| 81002 | <1% | 1,154 | $3K | |
| 99381 | <1% | 18 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 100 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| 99051 | <1% | 55 | $617.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 162 | $598.19 |
| 85018 | <1% | 568 | $433.43 | |
| 99462 | <1% | 15 | $327.60 | |
| 90670 | <1% | 2,712 | $185.87 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 56 | $115.73 |
| 90698 | <1% | 947 | $93.99 | |
| 90680 | <1% | 870 | $81.44 | |
| 92551 | <1% | 13 | $53.27 | |
| 90744 | <1% | 638 | $23.21 | |
| 90686 | <1% | 939 | $16.42 | |
| 90696 | 0% | 261 | $0.00 | |
| 90723 | 0% | 1,492 | $0.00 | |
| 90651 | 0% | 71 | $0.00 | |
| 90681 | 0% | 964 | $0.00 | |
| 90700 | 0% | 363 | $0.00 | |
| 90648 | 0% | 2,061 | $0.00 | |
| 90710 | 0% | 1,441 | $0.00 | |
| 90633 | 0% | 1,508 | $0.00 | |
| 90655 | 0% | 135 | $0.00 | |
| 90715 | 0% | 57 | $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 officialRABON, BRIAN (MD)