Physician
Eastern Carolina Pediatrics PA
Eastern Carolina Pediatrics PA was paid $24.56M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoEASTERN CAROLINA PEDIATRICS PA
WILSON, NC 27893
WILSON, NC 27893
33aNPI1073693347assigned 10/17/2006
33bProvider typePediatrics Physician
28Total paid$24.56M
24GClaims1,368,651
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#4 of 433
Median peer was paid$942K
This provider vs. median26×
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 | 89,206 | $2.66M | |
| 2019 | 89,936 | $2.94M | |
| 2020 | 75,733 | $2.60M | |
| 2021 | 179,604 | $3.45M | |
| 2022 | 306,823 | $4.27M | |
| 2023 | 308,548 | $4.30M | |
| 2024incomplete | 318,801 | $4.35M |
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 | 19% | 50,895 | 44,660 | $4.59M |
| 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% | 76,450 | 64,548 | $4.52M |
| 99199 | Unlisted special service, procedure or report | 18% | 734,244 | 431,523 | $4.40M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 21,760 | 19,163 | $1.85M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 20,324 | 18,178 | $1.79M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 14,800 | 13,393 | $1.30M |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.7% | 32,955 | 29,780 | $1.16M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 47,232 | 42,699 | $928K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 9,490 | 8,474 | $902K |
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 15,849 | 14,192 | $540K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.8% | 3,485 | 3,268 | $452K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 29,750 | 26,212 | $283K |
73 more codes
| D1206 | Topical application of fluoride varnish | <1% | 15,367 | $229K |
| 90474 | <1% | 11,286 | $222K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14,378 | $194K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 16,365 | $145K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,748 | $101K |
| 99051 | <1% | 3,765 | $93K | |
| 90651 | <1% | 4,327 | $92K | |
| 83655 | <1% | 5,699 | $77K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,651 | $76K |
| 99401 | <1% | 1,992 | $67K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,310 | $65K |
| 96161 | <1% | 13,663 | $47K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,938 | $44K |
| 99460 | <1% | 626 | $42K | |
| 92551 | <1% | 24,442 | $41K | |
| 96127 | <1% | 9,713 | $40K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,112 | $40K |
| 90734 | <1% | 2,101 | $37K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 317 | $28K |
| 80053 | Comprehensive metabolic panel | <1% | 2,383 | $23K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,960 | $18K |
| 90620 | <1% | 945 | $17K | |
| 94760 | <1% | 33,689 | $13K | |
| 99173 | <1% | 20,997 | $12K | |
| 87807 | <1% | 845 | $11K | |
| 80061 | Lipid panel | <1% | 620 | $10K |
| 90619 | <1% | 1,354 | $6K | |
| 90715 | <1% | 1,160 | $5K | |
| 81001 | <1% | 1,418 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 491 | $5K |
| 99177 | <1% | 10,870 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 213 | $3K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 125 | $3K |
| 69210 | <1% | 55 | $2K | |
| 96380 | <1% | 131 | $2K | |
| 90686 | <1% | 4,589 | $2K | |
| 99462 | <1% | 44 | $1K | |
| 90688 | <1% | 423 | $1K | |
| 99070 | <1% | 77 | $679.20 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 155 | $635.98 |
| 90633 | <1% | 7,565 | $587.40 | |
| 90677 | <1% | 1,634 | $572.43 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 335 | $538.20 |
| 81003 | <1% | 133 | $303.61 | |
| 74018 | <1% | 12 | $267.48 | |
| 90671 | <1% | 1,719 | $221.80 | |
| 94761 | <1% | 418 | $205.40 | |
| 90710 | <1% | 1,208 | $205.39 | |
| 36416 | <1% | 10,589 | $181.44 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $143.64 |
| 82247 | <1% | 16 | $99.20 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 46 | $81.80 |
| 86308 | <1% | 13 | $76.56 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 366 | $40.73 |
| 90744 | <1% | 8,698 | $26.08 | |
| 90680 | 0% | 11,511 | $0.00 | |
| 90698 | 0% | 13,599 | $0.00 | |
| 90716 | 0% | 1,431 | $0.00 | |
| 90647 | 0% | 1,000 | $0.00 | |
| 99000 | 0% | 81 | $0.00 | |
| 90696 | 0% | 1,039 | $0.00 | |
| 90656 | 0% | 710 | $0.00 | |
| 87081 | 0% | 274 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 36 | $0.00 |
| 90381 | 0% | 22 | $0.00 | |
| 90707 | 0% | 1,429 | $0.00 | |
| 90670 | 0% | 14,432 | $0.00 | |
| 99072 | 0% | 7,254 | $0.00 | |
| 90700 | 0% | 1,304 | $0.00 | |
| 90687 | 0% | 63 | $0.00 | |
| 90685 | 0% | 70 | $0.00 | |
| 90380 | 0% | 27 | $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 officialDAVIS, LINDA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Premium Select Home Care INC | Washington, DC | $64.07M |
| The Cherokee County Health Care Authority | Centre, AL | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.