Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN CRESCENT PEDIATRICS PC

NPI: 1972595999 · STOCKBRIDGE, GA 30281 · Pediatrics Physician · NPI assigned 08/16/2005

$9.67M
Total Medicaid Paid
253,537
Total Claims
230,834
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHERWOOD, JUAN (PRESIDENT)
NPI Enumeration Date08/16/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,577 $1.65M
2019 44,661 $1.76M
2020 35,402 $1.29M
2021 38,319 $1.39M
2022 40,531 $1.49M
2023 32,310 $1.24M
2024 24,737 $843K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53,229 48,762 $3.73M
90460 Immunization administration through 18 years of age via any route, first or only component 28,896 27,603 $1.31M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9,008 8,820 $998K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,804 9,648 $994K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,021 9,053 $913K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,832 14,028 $608K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,550 6,249 $598K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,414 11,839 $184K
99429 9,054 5,269 $81K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,040 5,411 $75K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,026 2,375 $72K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,662 3,430 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 274 262 $27K
94760 5,085 4,630 $22K
96127 2,951 2,872 $13K
99381 55 53 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 187 183 $3K
96160 1,484 1,427 $3K
81002 712 666 $2K
90686 5,907 5,643 $616.15
90651 4,363 4,220 $549.74
96161 211 196 $452.94
90670 6,493 5,943 $438.47
90677 359 338 $160.01
90633 3,110 2,653 $105.44
36416 25 24 $75.20
97802 12,697 12,298 $50.86
90620 1,969 1,920 $40.00
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) 343 319 $1.50
G8510 Screening for depression is documented as negative, a follow-up plan is not required 315 299 $0.30
36415 Collection of venous blood by venipuncture 360 315 $0.08
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 17,284 16,577 $0.00
90647 4,496 4,066 $0.00
90723 4,667 4,327 $0.00
90696 300 296 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,153 1,125 $0.00
90734 3,738 3,598 $0.00
90710 2,418 2,223 $0.00
90715 718 683 $0.00
90681 558 507 $0.00
90685 560 508 $0.00
90700 123 105 $0.00
5250F 86 71 $0.00