Physician
Children's Health Services, P.A.
Children's Health Services, P.A. was paid $6.11M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoCHILDREN'S HEALTH SERVICES, P.A.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1164500575assigned 11/02/2006
33bProvider typePediatrics Physician
28Total paid$6.11M
24GClaims375,081
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#65 of 433
Median peer was paid$942K
This provider vs. median6.5×
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 | 11,803 | $354K | |
| 2019 | 13,038 | $433K | |
| 2020 | 13,674 | $432K | |
| 2021 | 35,050 | $901K | |
| 2022 | 87,826 | $1.35M | |
| 2023 | 93,068 | $1.26M | |
| 2024incomplete | 120,622 | $1.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 23,596 | 20,461 | $1.44M |
| 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 | 22% | 15,099 | 13,154 | $1.35M |
| 99199 | Unlisted special service, procedure or report | 20% | 244,363 | 114,178 | $1.22M |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 9.1% | 4,199 | 3,514 | $554K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 3,162 | 2,812 | $287K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 13,389 | 12,044 | $257K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 2,160 | 1,909 | $188K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 2,075 | 1,890 | $185K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.9% | 5,300 | 4,750 | $179K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 12,171 | 10,924 | $109K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 526 | 484 | $53K |
| 92552 | <1% | 9,338 | 8,414 | $43K |
38 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,886 | $37K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 342 | $33K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 769 | $28K |
| 99401 | <1% | 838 | $26K | |
| 96127 | <1% | 5,096 | $24K | |
| D1206 | Topical application of fluoride varnish | <1% | 797 | $13K |
| 99354 | <1% | 140 | $12K | |
| 99173 | <1% | 10,121 | $8K | |
| 87276 | <1% | 623 | $8K | |
| 87275 | <1% | 623 | $8K | |
| 0071A | <1% | 147 | $7K | |
| 0072A | <1% | 141 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 796 | $7K |
| 90686 | <1% | 3,974 | $6K | |
| 87081 | <1% | 982 | $6K | |
| 0001A | <1% | 62 | $4K | |
| 90474 | <1% | 168 | $3K | |
| 0002A | <1% | 50 | $3K | |
| 96161 | <1% | 579 | $2K | |
| 90473 | <1% | 101 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 15 | $1K |
| 90651 | <1% | 39 | $1K | |
| 0051A | <1% | 25 | $780.00 | |
| 90672 | <1% | 209 | $315.22 | |
| 91305 | <1% | 75 | $128.92 | |
| 90656 | <1% | 428 | $99.67 | |
| 91307 | <1% | 376 | $23.19 | |
| 90680 | 0% | 130 | $0.00 | |
| 90677 | 0% | 148 | $0.00 | |
| 99000 | 0% | 1,665 | $0.00 | |
| 90647 | 0% | 201 | $0.00 | |
| 90723 | 0% | 275 | $0.00 | |
| 90660 | 0% | 16 | $0.00 | |
| 99072 | 0% | 5,985 | $0.00 | |
| 91300 | 0% | 79 | $0.00 | |
| 90633 | 0% | 74 | $0.00 | |
| 90670 | 0% | 646 | $0.00 | |
| 91308 | 0% | 82 | $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 officialHOLBROOK, CARTER (CEO)