Medicaid Provider Spending

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

ALL CHILDREN'S PEDIATRICS

NPI: 1972658797 · PORT ROYAL, SC 29935 · Pediatrics Physician · NPI assigned 01/24/2007

$2.63M
Total Medicaid Paid
54,703
Total Claims
51,527
Beneficiaries
52
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialSIMMONS, JAMES (M.D.)
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: SIMMONS, JAMES

ProviderCityStateTotal Paid
SOUTH TEXAS SPINAL CLINIC, P.A. SAN ANTONIO TX $530K
CENTRAL WASHINGTON PHYSICAL THERAPY YAKIMA WA $179K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,301 $764K
2019 12,484 $577K
2020 11,017 $536K
2021 10,759 $556K
2022 3,142 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,957 8,848 $937K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,382 7,506 $523K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,353 2,305 $228K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,894 1,847 $181K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,810 1,704 $161K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,553 1,520 $161K
90460 Immunization administration through 18 years of age via any route, first or only component 5,575 5,394 $128K
97802 4,865 4,756 $121K
90461 3,071 2,987 $74K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,207 2,121 $31K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 146 133 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 353 350 $12K
96127 1,350 1,319 $10K
G9153 Mapcp demonstration - physician incentive pool 262 260 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 485 373 $7K
99188 413 403 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40 36 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 350 349 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 619 603 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 350 327 $4K
0001A 75 67 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 30 30 $2K
81002 499 461 $2K
99441 84 76 $1K
90472 Immunization administration, each additional vaccine (list separately) 69 67 $1K
0071A 30 28 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $640.75
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 29 29 $587.42
Q3014 Telehealth originating site facility fee 31 28 $520.57
99070 60 59 $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 14 13 $184.32
87807 15 15 $173.72
90474 43 42 $171.00
90473 26 26 $141.84
85018 36 33 $81.16
90686 272 266 $0.02
91300 20 16 $0.02
90633 801 786 $0.01
90647 993 962 $0.00
90723 1,024 987 $0.00
90696 181 179 $0.00
90660 53 48 $0.00
90656 784 775 $0.00
92558 14 14 $0.00
90680 41 39 $0.00
90670 1,375 1,333 $0.00
90649 511 496 $0.00
90681 122 120 $0.00
90710 540 523 $0.00
90700 65 64 $0.00
90715 254 245 $0.00
90734 565 547 $0.00