Medicaid Provider Spending

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

CARING HEARTS PEDIATRICS

NPI: 1982961793 · HARTSVILLE, SC 29550 · Specialist · NPI assigned 04/18/2012

$5.51M
Total Medicaid Paid
161,197
Total Claims
149,137
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOWARD, PAUL (PRESIDENT/CEO)
NPI Enumeration Date04/18/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,167 $541K
2019 20,861 $533K
2020 19,992 $659K
2021 28,349 $970K
2022 26,131 $994K
2023 23,184 $965K
2024 19,513 $848K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,209 27,877 $2.14M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,979 5,663 $548K
90460 Immunization administration through 18 years of age via any route, first or only component 9,038 8,836 $402K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,762 3,717 $356K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,247 3,200 $287K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,765 2,717 $256K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,032 3,801 $221K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,814 1,781 $180K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,013 5,512 $159K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,796 8,955 $134K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,406 4,062 $95K
G9153 Mapcp demonstration - physician incentive pool 1,621 1,612 $76K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,506 1,438 $75K
90461 2,967 2,889 $74K
99070 12,894 11,500 $72K
97802 3,881 3,762 $56K
87428 925 898 $50K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,555 2,349 $49K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,552 3,520 $47K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,884 6,684 $46K
99381 296 280 $27K
87807 2,047 1,890 $24K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,114 1,913 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 859 725 $21K
83655 1,488 1,452 $18K
69210 553 418 $17K
36415 Collection of venous blood by venipuncture 4,985 4,752 $12K
81003 6,204 5,857 $12K
96127 1,669 1,640 $10K
85018 4,217 4,099 $9K
88738 1,002 980 $4K
86328 28 26 $1K
86308 136 130 $851.12
94664 88 85 $808.32
94760 1,809 1,510 $807.96
97803 51 44 $666.22
J0696 Injection, ceftriaxone sodium, per 250 mg 275 211 $502.64
90621 67 66 $439.30
90734 281 275 $277.66
90651 813 796 $246.58
90619 152 151 $180.61
90686 1,644 1,620 $131.29
J1100 Injection, dexamethasone sodium phosphate, 1 mg 88 87 $94.72
90633 1,257 1,240 $68.39
90715 227 224 $40.16
90672 34 33 $30.68
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14 12 $30.33
90677 395 391 $0.00
90744 548 540 $0.00
90680 1,591 1,567 $0.00
90697 657 652 $0.00
90620 116 114 $0.00
90698 1,307 1,296 $0.00
90696 221 216 $0.00
90656 42 42 $0.00
90716 109 108 $0.00
90660 12 12 $0.00
90670 2,140 2,104 $0.00
90710 290 284 $0.00
90707 109 108 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 270 269 $0.00
G0451 Development testing, with interpretation and report, per standardized instrument form 50 50 $0.00
90685 96 95 $0.00