Our Children's Clinic, PA

Our Children's Clinic, PA was paid $7.86M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 24% of everything it billed.

33Billing provider infoOUR CHILDREN'S CLINIC, PA
WINTERVILLE, NC 28590

33aNPI1124135603assigned 08/23/2006

33bProvider typePediatrics Physician

28Total paid$7.86M

24GClaims425,934

24DCodes billed72

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#51 of 433

Median peer was paid$942K

This provider vs. median8.3×

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	22,161	$601K
2019	22,084	$663K
2020	19,225	$571K
2021	51,873	$1.23M
2022	97,945	$1.75M
2023	103,940	$1.58M
2024incomplete	108,706	$1.47M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	24%	249,238	97,158	$1.90M
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%	30,171	25,969	$1.84M
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	16%	13,219	11,120	$1.23M
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	9.2%	5,344	4,549	$724K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.9%	3,529	3,146	$310K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.0%	2,758	2,447	$236K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	2,058	1,806	$203K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.4%	9,869	8,706	$192K
90472	Immunization administration, each additional vaccine (list separately)	2.2%	4,727	4,166	$172K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	2.0%	5,420	4,626	$156K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.9%	1,768	1,574	$147K
99401		1.4%	4,080	3,009	$107K

60 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.3%	11,442	$103K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	6,581	$91K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	2,139	$81K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	4,535	$63K
83036	Hemoglobin; glycosylated (A1C)	<1%	5,543	$59K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	6,154	$56K
94664		<1%	2,890	$31K
99070		<1%	4,034	$24K
D0145	Oral evaluation for a patient under three years of age	<1%	568	$18K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	284	$17K
83718		<1%	1,677	$16K
90474		<1%	576	$12K
96127		<1%	2,134	$11K
82465		<1%	1,675	$9K
92551		<1%	8,292	$8K
D1206	Topical application of fluoride varnish	<1%	559	$8K
G0315	Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)	<1%	268	$8K
90686		<1%	3,469	$4K
99173		<1%	8,752	$3K
G0312	Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)	<1%	279	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	56	$3K
90734		<1%	107	$3K
0071A		<1%	61	$3K
81002		<1%	907	$2K
81003		<1%	708	$2K
0001A		<1%	32	$2K
0002A		<1%	43	$1K
90651		<1%	52	$1K
0072A		<1%	21	$995.00
90480		<1%	36	$859.92
90619		<1%	171	$647.26
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	30	$346.12
90716		<1%	458	$335.38
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	12	$245.40
80061	Lipid panel	<1%	13	$208.32
36416		<1%	12,241	$123.65
90656		<1%	270	$61.60
90715		<1%	30	$43.25
82962		<1%	15	$40.46
91300		<1%	209	$34.65
90723		0%	295	$0.00
90677		0%	193	$0.00
90680		0%	584	$0.00
2015F		0%	33	$0.00
3044F		0%	238	$0.00
3074F		0%	504	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	157	$0.00
90698		0%	26	$0.00
91307		0%	27	$0.00
90696		0%	22	$0.00
90633		0%	486	$0.00
90670		0%	1,324	$0.00
3078F		0%	478	$0.00
90685		0%	73	$0.00
90648		0%	792	$0.00
90707		0%	397	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	55	$0.00
1160F		0%	670	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	33	$0.00
90700		0%	43	$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 officialSTEWART, ANGELA (PRESIDENT)