Physician
Jacksonville Children's and Multispecialty Clinic, PA
Jacksonville Children's and Multispecialty Clinic, PA was paid $44.55M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoJACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
33aNPI1164519070assigned 10/10/2006
33bProvider typeInternal Medicine Physician
28Total paid$44.55M
24GClaims2,920,496
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#1 of 616
Median peer was paid$74K
This provider vs. median600×
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 | 119,932 | $3.57M | |
| 2019 | 128,680 | $4.50M | |
| 2020 | 119,980 | $4.19M | |
| 2021 | 334,374 | $7.24M | |
| 2022 | 659,305 | $8.82M | |
| 2023 | 723,708 | $8.24M | |
| 2024incomplete | 834,517 | $7.99M |
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 | 28% | 225,042 | 184,236 | $12.55M |
| 99199 | Unlisted special service, procedure or report | 20% | 1,760,793 | 790,627 | $8.91M |
| 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 | 17% | 101,466 | 84,561 | $7.62M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 34,517 | 27,906 | $2.87M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 27,726 | 23,843 | $2.37M |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 42,472 | 36,292 | $1.57M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 17,749 | 15,031 | $1.52M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 70,483 | 59,297 | $1.24M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 8,361 | 7,000 | $762K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 52,744 | 45,701 | $463K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 3,602 | 2,999 | $429K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32,226 | 28,263 | $403K |
112 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 11,714 | $386K |
| 99460 | <1% | 4,646 | $349K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 2,003 | $303K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 4,761 | $281K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,611 | $277K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 7,019 | $234K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 17,128 | $208K |
| 96127 | <1% | 52,533 | $192K | |
| 87428 | <1% | 3,401 | $172K | |
| D1206 | Topical application of fluoride varnish | <1% | 11,357 | $161K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,119 | $147K |
| 99462 | <1% | 3,421 | $112K | |
| 83655 | <1% | 6,728 | $92K | |
| 99381 | <1% | 801 | $70K | |
| 85018 | <1% | 38,372 | $58K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 474 | $57K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 909 | $56K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 537 | $54K |
| 92551 | <1% | 38,609 | $50K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 680 | $44K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,912 | $43K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 333 | $40K |
| 96161 | <1% | 12,234 | $34K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,805 | $33K |
| 95819 | <1% | 242 | $29K | |
| 95117 | <1% | 3,491 | $26K | |
| 81025 | <1% | 4,150 | $25K | |
| 99051 | <1% | 936 | $21K | |
| 99173 | <1% | 37,159 | $19K | |
| 90686 | <1% | 20,644 | $18K | |
| 0071A | <1% | 346 | $16K | |
| 0072A | <1% | 297 | $15K | |
| 99454 | <1% | 574 | $15K | |
| 81002 | <1% | 6,062 | $15K | |
| 99205 | Prolong outpt/office vis | <1% | 203 | $14K |
| 90651 | <1% | 2,413 | $13K | |
| 99457 | <1% | 564 | $12K | |
| 0002A | <1% | 243 | $12K | |
| 0001A | <1% | 252 | $12K | |
| 99458 | <1% | 487 | $11K | |
| 90734 | <1% | 2,487 | $11K | |
| 99490 | Ccm add 20min | <1% | 1,450 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,409 | $9K |
| 0012A | <1% | 167 | $9K | |
| 0011A | <1% | 165 | $8K | |
| 99464 | <1% | 115 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 747 | $7K |
| 99383 | <1% | 45 | $5K | |
| 94010 | <1% | 209 | $4K | |
| 99439 | <1% | 738 | $4K | |
| 94060 | <1% | 98 | $4K | |
| 83718 | <1% | 393 | $4K | |
| 90670 | <1% | 16,774 | $3K | |
| 95115 | <1% | 430 | $2K | |
| 90677 | <1% | 2,511 | $2K | |
| 90620 | <1% | 511 | $2K | |
| 90656 | <1% | 1,429 | $2K | |
| 82465 | <1% | 395 | $2K | |
| 90715 | <1% | 729 | $2K | |
| 96380 | <1% | 95 | $1K | |
| 90716 | <1% | 6,247 | $1K | |
| 99382 | <1% | 14 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 17 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $872.16 |
| 0013A | <1% | 16 | $435.95 | |
| 99406 | <1% | 50 | $353.08 | |
| 90707 | <1% | 6,266 | $350.47 | |
| 91300 | <1% | 589 | $276.05 | |
| 90681 | <1% | 6,308 | $275.98 | |
| 90633 | <1% | 7,107 | $238.20 | |
| 1159F | <1% | 33,610 | $217.35 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 33 | $193.23 |
| 90723 | <1% | 13,842 | $186.66 | |
| 99441 | <1% | 12 | $155.00 | |
| 90647 | <1% | 13,213 | $146.49 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 134 | $127.06 |
| 91307 | <1% | 713 | $115.65 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 31 | $114.96 |
| 94760 | <1% | 2,887 | $81.43 | |
| 90700 | <1% | 1,455 | $78.59 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 47 | $78.30 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 159 | $75.66 |
| 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) | <1% | 30 | $72.44 |
| 90696 | <1% | 1,211 | $59.82 | |
| 91301 | <1% | 332 | $47.99 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 19 | $15.20 |
| 3074F | <1% | 35,024 | $7.83 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 22 | $5.78 |
| 3078F | <1% | 31,455 | $1.15 | |
| 3079F | <1% | 6,498 | $0.59 | |
| 1160F | <1% | 13,284 | $0.36 | |
| 1111F | <1% | 2,968 | $0.24 | |
| 1125F | <1% | 505 | $0.19 | |
| 3077F | <1% | 1,193 | $0.16 | |
| 1126F | <1% | 421 | $0.15 | |
| 3044F | <1% | 305 | $0.12 | |
| 3075F | <1% | 2,034 | $0.07 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 90 | $0.05 |
| 3080F | <1% | 567 | $0.04 | |
| 3046F | <1% | 22 | $0.02 | |
| 99000 | <1% | 12,908 | $0.02 | |
| 90381 | <1% | 72 | $0.01 | |
| 90685 | 0% | 212 | $0.00 | |
| 3045F | 0% | 30 | $0.00 | |
| 90380 | 0% | 12 | $0.00 | |
| 91308 | 0% | 16 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 850 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 221 | $0.00 |
| 36416 | 0% | 76 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 68 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 25 | $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 officialGOPICHAND, ISHWAR (CMO)