Caring Hearts Pediatrics
Caring Hearts Pediatrics was paid $5.51M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCARING HEARTS PEDIATRICS
HARTSVILLE, SC 29550
HARTSVILLE, SC 29550
33aNPI1982961793assigned 04/18/2012
33bProvider typeSpecialist
28Total paid$5.51M
24GClaims161,197
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#3 of 89
Median peer was paid$41K
This provider vs. median134×
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 | 23,167 | $541K | |
| 2019 | 20,861 | $533K | |
| 2020 | 19,992 | $659K | |
| 2021 | 28,349 | $970K | |
| 2022 | 26,131 | $994K | |
| 2023 | 23,184 | $965K | |
| 2024incomplete | 19,513 | $848K |
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% | 33,209 | 27,877 | $2.14M |
| 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 | 10.0% | 5,979 | 5,663 | $548K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 9,038 | 8,836 | $402K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 3,762 | 3,717 | $356K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 3,247 | 3,200 | $287K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 2,765 | 2,717 | $256K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.0% | 4,032 | 3,801 | $221K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 1,814 | 1,781 | $180K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 6,013 | 5,512 | $159K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 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 | 1.7% | 4,406 | 4,062 | $95K |
| G9153 | Mapcp demonstration - physician incentive pool | 1.4% | 1,621 | 1,612 | $76K |
51 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 1,506 | $75K |
| 90461 | 1.3% | 2,967 | $74K | |
| 99070 | 1.3% | 12,894 | $72K | |
| 97802 | 1.0% | 3,881 | $56K | |
| 87428 | <1% | 925 | $50K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,555 | $49K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,552 | $47K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,884 | $46K |
| 99381 | <1% | 296 | $27K | |
| 87807 | <1% | 2,047 | $24K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,114 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 859 | $21K |
| 83655 | <1% | 1,488 | $18K | |
| 69210 | <1% | 553 | $17K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,985 | $12K |
| 81003 | <1% | 6,204 | $12K | |
| 96127 | <1% | 1,669 | $10K | |
| 85018 | <1% | 4,217 | $9K | |
| 88738 | <1% | 1,002 | $4K | |
| 86328 | <1% | 28 | $1K | |
| 86308 | <1% | 136 | $851.12 | |
| 94664 | <1% | 88 | $808.32 | |
| 94760 | <1% | 1,809 | $807.96 | |
| 97803 | <1% | 51 | $666.22 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 275 | $502.64 |
| 90621 | <1% | 67 | $439.30 | |
| 90734 | <1% | 281 | $277.66 | |
| 90651 | <1% | 813 | $246.58 | |
| 90619 | <1% | 152 | $180.61 | |
| 90686 | <1% | 1,644 | $131.29 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 88 | $94.72 |
| 90633 | <1% | 1,257 | $68.39 | |
| 90715 | <1% | 227 | $40.16 | |
| 90672 | <1% | 34 | $30.68 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 14 | $30.33 |
| 90677 | 0% | 395 | $0.00 | |
| 90744 | 0% | 548 | $0.00 | |
| 90680 | 0% | 1,591 | $0.00 | |
| 90697 | 0% | 657 | $0.00 | |
| 90620 | 0% | 116 | $0.00 | |
| 90698 | 0% | 1,307 | $0.00 | |
| 90696 | 0% | 221 | $0.00 | |
| 90656 | 0% | 42 | $0.00 | |
| 90716 | 0% | 109 | $0.00 | |
| 90660 | 0% | 12 | $0.00 | |
| 90670 | 0% | 2,140 | $0.00 | |
| 90710 | 0% | 290 | $0.00 | |
| 90707 | 0% | 109 | $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 | 0% | 270 | $0.00 |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | 0% | 50 | $0.00 |
| 90685 | 0% | 96 | $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 officialCOWARD, PAUL (PRESIDENT/CEO)