Physician
Fox, Kimberly
Fox, Kimberly was paid $931K by Medicaid between Jul 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoFOX, KIMBERLY
SMITHFIELD, NC 27577
SMITHFIELD, NC 27577
33aNPI1093809782assigned 10/03/2006
33bProvider typePediatrics Physician
28Total paid$931K
24GClaims32,455
24DCodes billed36
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#219 of 433
Median peer was paid$942K
This provider vs. median1.0×
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 | 12 | $81.76 | |
| 2021 | 8,954 | $257K | |
| 2022 | 13,047 | $306K | |
| 2023 | 6,522 | $226K | |
| 2024incomplete | 3,920 | $142K |
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 | 24% | 2,904 | 1,462 | $223K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 3,665 | 1,953 | $218K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.8% | 2,158 | 1,240 | $91K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 715 | 422 | $70K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.7% | 874 | 239 | $53K |
| 99051 | 5.5% | 4,138 | 1,419 | $51K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 526 | 298 | $48K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 419 | 268 | $37K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 262 | 158 | $27K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 2,883 | 1,718 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 2,412 | 1,040 | $20K |
| 92552 | 1.9% | 1,808 | 1,044 | $18K |
24 more codes
| 99205 | Prolong outpt/office vis | 1.1% | 128 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 1,096 | $9K |
| 99070 | <1% | 2,409 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 233 | $8K |
| 96127 | <1% | 1,431 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 132 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 94 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 94 | $2K |
| 87807 | <1% | 87 | $568.72 | |
| 90670 | 0% | 398 | $0.00 | |
| 90710 | 0% | 103 | $0.00 | |
| 99173 | 0% | 1,858 | $0.00 | |
| 90461 | 0% | 610 | $0.00 | |
| 90685 | 0% | 24 | $0.00 | |
| 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) | 0% | 17 | $0.00 |
| 90633 | 0% | 24 | $0.00 | |
| 90686 | 0% | 463 | $0.00 | |
| 90647 | 0% | 137 | $0.00 | |
| 90680 | 0% | 90 | $0.00 | |
| 86769 | 0% | 79 | $0.00 | |
| 90723 | 0% | 94 | $0.00 | |
| 90656 | 0% | 54 | $0.00 | |
| 90697 | 0% | 24 | $0.00 | |
| 90696 | 0% | 12 | $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.