Kids First Pediatrics of Raeford, PC

Kids First Pediatrics of Raeford, PC was paid $16.54M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 22% of everything it billed.

33Billing provider infoKIDS FIRST PEDIATRICS OF RAEFORD, PC
RAEFORD, NC 28376

33aNPI1235439613assigned 11/01/2010

33bProvider typePediatrics Physician

28Total paid$16.54M

24GClaims1,105,030

24DCodes billed77

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#15 of 433

Median peer was paid$942K

This provider vs. median18×

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	59,041	$1.35M
2019	57,345	$1.64M
2020	55,561	$1.51M
2021	126,964	$2.13M
2022	250,059	$3.15M
2023	260,467	$3.39M
2024incomplete	295,593	$3.38M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	22%	622,084	363,303	$3.70M
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	19%	41,407	31,140	$3.15M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	38,509	29,748	$2.08M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	8.4%	17,439	13,383	$1.39M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.3%	16,592	13,456	$1.38M
90472	Immunization administration, each additional vaccine (list separately)	5.4%	26,282	20,958	$889K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.9%	10,208	8,342	$815K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.3%	40,102	32,001	$707K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	4.2%	8,894	5,370	$701K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.1%	4,000	3,189	$340K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.5%	32,844	26,529	$244K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12,863	10,009	$141K

65 more codes

90474		<1%	5,798	$107K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	8,588	$104K
92552		<1%	24,369	$104K
96127		<1%	23,057	$83K
99215	Doctor's office visit, returning patient (complex)	<1%	725	$76K
D0145	Oral evaluation for a patient under three years of age	<1%	2,388	$75K
83655		<1%	4,540	$53K
99381		<1%	498	$39K
99383		<1%	427	$35K
D1206	Topical application of fluoride varnish	<1%	2,390	$33K
96161		<1%	9,581	$30K
90651		<1%	2,203	$21K
99460		<1%	377	$21K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	714	$17K
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%	6,790	$16K
85018		<1%	10,689	$15K
99382		<1%	190	$15K
90734		<1%	1,425	$14K
99173		<1%	24,661	$13K
90686		<1%	10,385	$13K
99238	Hospital discharge day management, 30 minutes or less	<1%	223	$11K
87807		<1%	861	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	294	$9K
99203	Doctor's office visit, new patient (routine)	<1%	99	$8K
90677		<1%	1,184	$7K
90670		<1%	10,477	$6K
90656		<1%	943	$6K
90633		<1%	6,835	$6K
90716		<1%	3,053	$6K
99401		<1%	304	$5K
90723		<1%	4,200	$5K
90698		<1%	3,101	$5K
54162		<1%	34	$5K
90680		<1%	5,921	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	326	$4K
96160		<1%	1,447	$4K
0071A		<1%	76	$4K
81003		<1%	2,404	$4K
99051		<1%	163	$3K
0072A		<1%	64	$3K
99384		<1%	38	$2K
99177		<1%	3,671	$2K
90473		<1%	147	$2K
90707		<1%	3,016	$2K
90715		<1%	802	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	166	$2K
90647		<1%	4,667	$1K
94010		<1%	35	$767.40
94760		<1%	6,159	$743.44
90700		<1%	2,131	$571.07
90672		<1%	228	$330.96
90688		<1%	213	$321.48
90710		<1%	90	$275.16
90744		<1%	1,881	$239.51
36416		<1%	8,808	$206.62
A7015	Aerosol mask, used with dme nebulizer	<1%	133	$185.29
90696		<1%	324	$119.64
94664		<1%	18	$77.91
91307		<1%	228	$32.80
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	181	$2.49
99000		0%	16,997	$0.00
90621		0%	168	$0.00
90685		0%	675	$0.00
99072		0%	1,155	$0.00
90713		0%	71	$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 officialBUENASEDA, LEAMOR (OWNER)