Physician
University Pediatrics
University Pediatrics was paid $8.22M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 21% of everything it billed.
33Billing provider infoUNIVERSITY PEDIATRICS
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
33aNPI1073541124assigned 06/29/2006
33bProvider typePediatrics Physician
28Total paid$8.22M
24GClaims574,441
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#46 of 433
Median peer was paid$942K
This provider vs. median8.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more
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 | 25,520 | $665K | |
| 2019 | 29,309 | $863K | |
| 2020 | 30,392 | $822K | |
| 2021 | 83,975 | $1.28M | |
| 2022 | 127,669 | $1.56M | |
| 2023 | 133,595 | $1.52M | |
| 2024incomplete | 143,981 | $1.52M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 21% | 321,302 | 207,317 | $1.75M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 24,044 | 21,204 | $1.48M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 17,514 | 14,378 | $1.44M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 12,499 | 10,292 | $1.09M |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.8% | 15,745 | 12,932 | $479K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.1% | 24,903 | 20,358 | $422K |
| 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 | 4.7% | 4,264 | 3,825 | $384K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 7,299 | 6,359 | $365K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 3,818 | 3,307 | $352K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 24,855 | 20,908 | $109K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 1,000 | 850 | $95K |
| 90474 | <1% | 4,865 | 3,931 | $82K |
47 more codes
| 96127 | <1% | 6,589 | $24K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 762 | $22K |
| 83655 | <1% | 1,426 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 390 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 325 | $14K |
| 96161 | <1% | 4,382 | $12K | |
| 0071A | <1% | 260 | $11K | |
| D1206 | Topical application of fluoride varnish | <1% | 764 | $10K |
| 92551 | <1% | 9,239 | $9K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 166 | $9K |
| 0001A | <1% | 124 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,865 | $4K |
| 80061 | Lipid panel | <1% | 291 | $4K |
| 99173 | <1% | 10,238 | $3K | |
| 90686 | <1% | 7,426 | $3K | |
| 90651 | <1% | 189 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 185 | $3K |
| 0072A | <1% | 48 | $2K | |
| 99442 | <1% | 32 | $2K | |
| 99381 | <1% | 16 | $1K | |
| 90734 | <1% | 151 | $951.17 | |
| 90670 | <1% | 9,849 | $944.38 | |
| 90723 | <1% | 8,171 | $646.34 | |
| 90680 | <1% | 6,937 | $386.56 | |
| 90677 | <1% | 2,262 | $283.70 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $208.52 |
| 90647 | <1% | 7,754 | $200.88 | |
| 90633 | <1% | 3,087 | $132.78 | |
| 90656 | <1% | 802 | $102.02 | |
| 90715 | <1% | 14 | $77.86 | |
| 36416 | <1% | 859 | $75.10 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 26 | $55.70 |
| 99177 | <1% | 39 | $7.83 | |
| 1159F | 0% | 11,055 | $0.00 | |
| 90710 | 0% | 32 | $0.00 | |
| 1160F | 0% | 6,761 | $0.00 | |
| 90707 | 0% | 211 | $0.00 | |
| 3078F | 0% | 3,680 | $0.00 | |
| 90700 | 0% | 181 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 66 | $0.00 |
| 90685 | 0% | 20 | $0.00 | |
| 3074F | 0% | 3,827 | $0.00 | |
| 91307 | 0% | 257 | $0.00 | |
| 3008F | 0% | 1,442 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 91305 | 0% | 22 | $0.00 | |
| 90716 | 0% | 85 | $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 officialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent organizationUNIVERSITY PEDIATRICS
| Provider | Location | Paid |
|---|---|---|
| Carolinas Medical Center | Charlotte, NC | $52.97M |
| Cotswold Family Medicine | Charlotte, NC | $12.51M |
| Carolinas Physicians Network INC. | Charlotte, NC | $8.93M |
| Carolinas Physicians Network INC | Gastonia, NC | $8.57M |
| Carolinas Physicians Network INC | Rock Hill, SC | $8.47M |
| Carolinas Medical Center | Charlotte, NC | $6.42M |
| Eastland Urgent Care | Charlotte, NC | $5.05M |
| Carolinas Physicians Network INC | Charlotte, NC | $4.24M |
| University Pediatrics | Charlotte, NC | $3.22M |
| Carolinas Physicians Network INC | Fort Mill, SC | $3.04M |
| Carolinas Physicians Network INC | Concord, NC | $2.91M |
| Carolinas Medical Center | Charlotte, NC | $2.82M |
| Charlotte Pediatric Clinic | Charlotte, NC | $2.46M |
| Carolinas Physicians Network INC | Concord, NC | $2.38M |
| Pediatric Endocrinology & Diabetes Specialists | Charlotte, NC | $2.27M |
| Carolinas Physicians Network INC | Charlotte, NC | $2.06M |
| Carolinas Physicians Network INC | Kannapolis, NC | $1.98M |
| Arboretum Pediatrics | Charlotte, NC | $1.92M |
| Carolinas Physicians Network INC | Charlotte, NC | $1.91M |
| Charlotte Pediatric Clinic | Matthews, NC | $1.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.