Physician
Southern Crescent Pediatrics PC
Southern Crescent Pediatrics PC was paid $9.67M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSOUTHERN CRESCENT PEDIATRICS PC
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
33aNPI1972595999assigned 08/16/2005
33bProvider typePediatrics Physician
28Total paid$9.67M
24GClaims253,537
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#6 of 220
Median peer was paid$57K
This provider vs. median169×
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 | 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 | |
| 2024incomplete | 24,737 | $843K |
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 | 39% | 53,229 | 48,762 | $3.73M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 28,896 | 27,603 | $1.31M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 9,008 | 8,820 | $998K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 9,804 | 9,648 | $994K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 10,021 | 9,053 | $913K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.3% | 14,832 | 14,028 | $608K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 6,550 | 6,249 | $598K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 12,414 | 11,839 | $184K |
| 99429 | <1% | 9,054 | 5,269 | $81K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,040 | 5,411 | $75K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,026 | 2,375 | $72K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,662 | 3,430 | $34K |
31 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 274 | $27K |
| 94760 | <1% | 5,085 | $22K | |
| 96127 | <1% | 2,951 | $13K | |
| 99381 | <1% | 55 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 187 | $3K |
| 96160 | <1% | 1,484 | $3K | |
| 81002 | <1% | 712 | $2K | |
| 90686 | <1% | 5,907 | $616.15 | |
| 90651 | <1% | 4,363 | $549.74 | |
| 96161 | <1% | 211 | $452.94 | |
| 90670 | <1% | 6,493 | $438.47 | |
| 90677 | <1% | 359 | $160.01 | |
| 90633 | <1% | 3,110 | $105.44 | |
| 36416 | <1% | 25 | $75.20 | |
| 97802 | <1% | 12,697 | $50.86 | |
| 90620 | <1% | 1,969 | $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) | <1% | 343 | $1.50 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 315 | $0.30 |
| 36415 | Collection of venous blood by venipuncture | <1% | 360 | $0.08 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 17,284 | $0.00 |
| 90647 | 0% | 4,496 | $0.00 | |
| 90723 | 0% | 4,667 | $0.00 | |
| 90696 | 0% | 300 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 1,153 | $0.00 |
| 90734 | 0% | 3,738 | $0.00 | |
| 90710 | 0% | 2,418 | $0.00 | |
| 90715 | 0% | 718 | $0.00 | |
| 90681 | 0% | 558 | $0.00 | |
| 90685 | 0% | 560 | $0.00 | |
| 90700 | 0% | 123 | $0.00 | |
| 5250F | 0% | 86 | $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 officialSHERWOOD, JUAN (PRESIDENT)