Medicaid Provider Spending

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

PEDIAKARE OF NEWNAN, INC

NPI: 1982993283 · NEWNAN, GA 30265 · Pediatrics Physician · NPI assigned 04/07/2011

$21K
Total Medicaid Paid
1,003
Total Claims
969
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialDARRAH, SHANE (CEO)
NPI Enumeration Date04/07/2011

Related Entities

Other providers sharing the same authorized official: DARRAH, SHANE

ProviderCityStateTotal Paid
PEDIATRIC ACUTE CARE OF COLUMBUS, P.C. COLUMBUS GA $373K
SOUTHEASTERN GASTROENTEROLOGY ASSOCIATES, PC COLUMBUS GA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 901 $19K
2019 102 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 146 142 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 118 116 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 17 $1K
94760 550 524 $6.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 134 133 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 38 37 $0.00