Physician
All Children's Pediatrics
All Children's Pediatrics was paid $2.63M by Medicaid between Jan 2018 and May 2022, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoALL CHILDREN'S PEDIATRICS
PORT ROYAL, SC 29935
PORT ROYAL, SC 29935
33aNPI1972658797assigned 01/24/2007
33bProvider typePediatrics Physician
28Total paid$2.63M
24GClaims54,703
24DCodes billed52
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#42 of 471
Median peer was paid$18K
This provider vs. median149×
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 | 17,301 | $764K | |
| 2019 | 12,484 | $577K | |
| 2020 | 11,017 | $536K | |
| 2021 | 10,759 | $556K | |
| 2022 | 3,142 | $201K |
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 | 36% | 9,957 | 8,848 | $937K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 8,382 | 7,506 | $523K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 2,353 | 2,305 | $228K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 1,894 | 1,847 | $181K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 1,810 | 1,704 | $161K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 1,553 | 1,520 | $161K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 5,575 | 5,394 | $128K |
| 97802 | 4.6% | 4,865 | 4,756 | $121K | |
| 90461 | 2.8% | 3,071 | 2,987 | $74K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 2,207 | 2,121 | $31K |
| 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% | 146 | 133 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 353 | 350 | $12K |
40 more codes
| 96127 | <1% | 1,350 | $10K | |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 262 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 485 | $7K |
| 99188 | <1% | 413 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 40 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 350 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 619 | $5K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 350 | $4K |
| 0001A | <1% | 75 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 30 | $2K |
| 81002 | <1% | 499 | $2K | |
| 99441 | <1% | 84 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 69 | $1K |
| 0071A | <1% | 30 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $640.75 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 29 | $587.42 |
| Q3014 | Telehealth originating site facility fee | <1% | 31 | $520.57 |
| 99070 | <1% | 60 | $428.73 | |
| 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% | 14 | $184.32 |
| 87807 | <1% | 15 | $173.72 | |
| 90474 | <1% | 43 | $171.00 | |
| 90473 | <1% | 26 | $141.84 | |
| 85018 | <1% | 36 | $81.16 | |
| 90686 | <1% | 272 | $0.02 | |
| 91300 | <1% | 20 | $0.02 | |
| 90633 | <1% | 801 | $0.01 | |
| 90647 | 0% | 993 | $0.00 | |
| 90723 | 0% | 1,024 | $0.00 | |
| 90696 | 0% | 181 | $0.00 | |
| 90660 | 0% | 53 | $0.00 | |
| 90656 | 0% | 784 | $0.00 | |
| 92558 | 0% | 14 | $0.00 | |
| 90680 | 0% | 41 | $0.00 | |
| 90670 | 0% | 1,375 | $0.00 | |
| 90649 | 0% | 511 | $0.00 | |
| 90681 | 0% | 122 | $0.00 | |
| 90710 | 0% | 540 | $0.00 | |
| 90700 | 0% | 65 | $0.00 | |
| 90715 | 0% | 254 | $0.00 | |
| 90734 | 0% | 565 | $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 officialSIMMONS, JAMES (M.D.)
| Provider | Location | Paid |
|---|---|---|
| South Texas Spinal Clinic, P.A. | San Antonio, TX | $530K |
| Central Washington Physical Therapy | Yakima, WA | $179K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.