Physician
Marion Pediatrics and Adolescents
Marion Pediatrics and Adolescents was paid $1.00M by Medicaid between Jul 2020 and Dec 2024, across 34 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 19% of everything it billed.
33Billing provider infoMARION PEDIATRICS AND ADOLESCENTS
MARION, NC 28752
MARION, NC 28752
33aNPI1205474715assigned 12/16/2019
33bProvider typePediatrics Physician
28Total paid$1.00M
24GClaims59,923
24DCodes billed34
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#212 of 433
Median peer was paid$942K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 347 | $7K | |
| 2021 | 5,697 | $140K | |
| 2022 | 19,462 | $329K | |
| 2023 | 17,829 | $288K | |
| 2024incomplete | 16,588 | $239K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 19% | 37,010 | 19,962 | $188K |
| 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% | 2,183 | 1,613 | $168K |
| 99401 | 16% | 5,777 | 3,725 | $163K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 1,882 | 1,404 | $97K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 9.4% | 756 | 584 | $94K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.7% | 1,937 | 1,503 | $77K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 890 | 609 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 609 | 501 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 1,710 | 1,380 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 197 | 168 | $16K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 326 | 264 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 749 | 608 | $9K |
22 more codes
| 96127 | <1% | 1,380 | $9K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 219 | $6K |
| 90670 | <1% | 266 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 324 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $4K |
| 92551 | <1% | 754 | $2K | |
| 96161 | <1% | 494 | $2K | |
| 90698 | <1% | 223 | $2K | |
| 90686 | <1% | 629 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $1K |
| 99173 | <1% | 931 | $1K | |
| 90680 | <1% | 120 | $963.54 | |
| 90480 | <1% | 18 | $825.00 | |
| 96160 | <1% | 208 | $679.89 | |
| 91321 | <1% | 17 | $527.38 | |
| 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% | 20 | $123.08 |
| 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% | 13 | $92.31 |
| 90633 | 0% | 33 | $0.00 | |
| 91307 | 0% | 44 | $0.00 | |
| 90656 | 0% | 78 | $0.00 | |
| 90677 | 0% | 38 | $0.00 | |
| 36416 | 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.
From NPPES
Who's on the registration
Authorized officialMORRIS GARDNER, COURTNEY (PEDIATRIC NURSE PRACTITIONER)