Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILDREN'S HEALTH OF CAROLINA, PA

NPI: 1144284548 · RAEFORD, NC 28376 · Pediatrics Physician · NPI assigned 04/13/2006

$4.98M
Total Medicaid Paid
313,445
Total Claims
210,187
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEALY, LAURA (BUSINESS MANAGER)
Parent OrganizationCHILDREN'S HEALTH OF CAROLINA PA
NPI Enumeration Date04/13/2006

Related Entities

Other providers sharing the same authorized official: SEALY, LAURA

ProviderCityStateTotal Paid
CHILDREN'S HEALTH OF CAROLINA, PA LUMBERTON NC $89.47M
CHILDREN'S HEALTH OF CAROLINA, PA PEMBROKE NC $18.18M
CHILDREN'S HEALTH OF CAROLINA, PA FAYETTEVILLE NC $7.66M
CHILDREN'S HEALTH OF CAROLINA, PA FAIRMONT NC $103K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,957 $587K
2019 23,951 $703K
2020 13,368 $432K
2021 65,819 $908K
2022 51,614 $413K
2023 74,207 $1.03M
2024 60,529 $906K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 184,233 97,354 $1.27M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,850 13,858 $925K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,969 7,561 $776K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,103 2,843 $262K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,840 2,499 $241K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,457 11,195 $233K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,176 1,918 $207K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,496 3,449 $200K
90472 Immunization administration, each additional vaccine (list separately) 5,153 4,612 $188K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,090 1,840 $181K
87400 4,290 3,381 $101K
D0145 Oral evaluation for a patient under three years of age 3,027 2,782 $92K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,810 4,976 $72K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,456 1,280 $50K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,791 4,362 $43K
D1206 Topical application of fluoride varnish 3,030 2,783 $40K
96127 6,089 5,317 $23K
80061 Lipid panel 861 698 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 896 822 $7K
85018 8,636 7,606 $6K
92551 7,101 6,212 $5K
90474 242 222 $5K
90651 1,086 955 $4K
87807 314 236 $4K
83655 289 245 $4K
96161 846 670 $3K
0071A 34 24 $2K
90734 742 595 $2K
0072A 31 26 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 136 129 $2K
99070 181 171 $2K
81003 1,190 1,000 $1K
G9919 Screening performed and positive and provision of recommendations 98 60 $1K
90686 5,396 4,821 $1K
94664 93 79 $952.21
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 34 32 $904.32
90620 354 283 $852.25
99173 7,229 6,326 $675.18
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 18 18 $627.68
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 30 $595.08
99051 28 20 $529.60
90688 1,039 979 $523.20
69210 24 12 $520.84
36415 Collection of venous blood by venipuncture 73 62 $156.60
90656 226 198 $62.49
90633 410 377 $34.10
90670 1,396 1,283 $0.00
90681 246 226 $0.00
90715 69 45 $0.00
90700 12 12 $0.00
90707 13 13 $0.00
90685 87 84 $0.00
99000 1,770 1,457 $0.00
90723 1,036 945 $0.00
90647 926 857 $0.00
S8110 Peak expiratory flow rate (physician services) 127 121 $0.00
94760 30 26 $0.00
90677 133 127 $0.00
90716 13 13 $0.00
91307 81 60 $0.00