Knox Clinic Pediatrics
Knox Clinic Pediatrics was paid $9.82M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoKNOX CLINIC PEDIATRICS
WILMINGTON, NC 28403
WILMINGTON, NC 28403
33aNPI1063500908assigned 10/10/2006
33bProvider typeSpecialist
28Total paid$9.82M
24GClaims528,317
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#7 of 172
Median peer was paid$83K
This provider vs. median119×
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 | 37,005 | $1.20M | |
| 2019 | 33,552 | $1.34M | |
| 2020 | 26,611 | $1.04M | |
| 2021 | 65,610 | $1.31M | |
| 2022 | 120,677 | $1.72M | |
| 2023 | 126,579 | $1.81M | |
| 2024incomplete | 118,283 | $1.42M |
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 | 27% | 29,794 | 25,575 | $2.62M |
| 99199 | Unlisted special service, procedure or report | 15% | 309,781 | 150,119 | $1.51M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.1% | 6,592 | 5,609 | $797K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 11,763 | 10,001 | $703K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 7,256 | 6,380 | $608K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 7,105 | 6,173 | $587K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 6,769 | 5,621 | $551K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 4.7% | 3,563 | 2,952 | $464K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 4,877 | 4,165 | $439K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.6% | 19,588 | 17,030 | $358K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.6% | 11,636 | 10,188 | $258K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.8% | 6,170 | 5,562 | $178K |
53 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 4,484 | $144K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 2,780 | $117K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,397 | $89K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 9,527 | $73K |
| D1206 | Topical application of fluoride varnish | <1% | 4,566 | $64K |
| 99051 | <1% | 2,483 | $58K | |
| 96160 | <1% | 12,880 | $39K | |
| 99070 | <1% | 5,265 | $28K | |
| 90474 | <1% | 1,839 | $24K | |
| 99442 | <1% | 469 | $18K | |
| 99441 | <1% | 984 | $17K | |
| 92551 | <1% | 15,797 | $12K | |
| 90734 | <1% | 867 | $10K | |
| 90649 | <1% | 630 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 698 | $10K |
| 99381 | <1% | 61 | $5K | |
| 87634 | <1% | 190 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 215 | $4K |
| 96127 | <1% | 984 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 285 | $4K |
| 90651 | <1% | 534 | $3K | |
| 99173 | <1% | 17,000 | $3K | |
| 99443 | <1% | 27 | $2K | |
| 69210 | <1% | 44 | $2K | |
| 90670 | <1% | 3,844 | $2K | |
| 83655 | <1% | 99 | $1K | |
| 96161 | <1% | 469 | $1K | |
| 90688 | <1% | 2,962 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 38 | $792.48 |
| 90697 | <1% | 406 | $693.60 | |
| 90715 | <1% | 185 | $673.95 | |
| 90621 | <1% | 157 | $673.85 | |
| 90680 | <1% | 1,837 | $554.64 | |
| 90461 | <1% | 42 | $338.80 | |
| 90633 | <1% | 1,771 | $232.48 | |
| 85018 | <1% | 125 | $215.41 | |
| 90658 | <1% | 1,647 | $201.92 | |
| 82570 | <1% | 20 | $96.63 | |
| 81025 | <1% | 18 | $81.90 | |
| 81003 | <1% | 20 | $33.24 | |
| 90671 | <1% | 359 | $0.01 | |
| 90698 | 0% | 51 | $0.00 | |
| 90677 | 0% | 375 | $0.00 | |
| 90647 | 0% | 1,667 | $0.00 | |
| 90696 | 0% | 168 | $0.00 | |
| 90657 | 0% | 466 | $0.00 | |
| 90723 | 0% | 638 | $0.00 | |
| 90619 | 0% | 176 | $0.00 | |
| 94760 | 0% | 14 | $0.00 | |
| 87428 | 0% | 13 | $0.00 | |
| 90710 | 0% | 1,383 | $0.00 | |
| 90687 | 0% | 367 | $0.00 | |
| 90700 | 0% | 100 | $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 officialTHACKER, ANMONA (MD)