Physician
Pediakare of Newnan, INC
Pediakare of Newnan, INC was paid $21K by Medicaid between Jan 2018 and Mar 2019, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoPEDIAKARE OF NEWNAN, INC
NEWNAN, GA 30265
NEWNAN, GA 30265
33aNPI1982993283assigned 04/07/2011
33bProvider typePediatrics Physician
28Total paid$21K
24GClaims1,003
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#130 of 220
Median peer was paid$57K
This provider vs. median0.4×
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 | 901 | $19K | |
| 2019 | 102 | $2K |
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 | 51% | 146 | 142 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 118 | 116 | $9K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.5% | 17 | 17 | $1K |
| 94760 | <1% | 550 | 524 | $6.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 134 | 133 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 38 | 37 | $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 officialDARRAH, SHANE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Acute Care of Columbus, P.C. | Columbus, GA | $373K |
| Southeastern Gastroenterology Associates, PC | Columbus, GA | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.