Physician
Cleveland Pediatrics PC
Cleveland Pediatrics PC was paid $1.56M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoCLEVELAND PEDIATRICS PC
CLEVELAND, NC 27013
CLEVELAND, NC 27013
33aNPI1245207356assigned 03/07/2006
33bProvider typePediatrics Physician
28Total paid$1.56M
24GClaims100,657
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#180 of 433
Median peer was paid$942K
This provider vs. median1.7×
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 | 5,136 | $157K | |
| 2019 | 6,271 | $201K | |
| 2020 | 4,067 | $115K | |
| 2021 | 12,535 | $223K | |
| 2022 | 24,130 | $292K | |
| 2023 | 23,748 | $296K | |
| 2024incomplete | 24,770 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 8,110 | 6,900 | $687K |
| 99199 | Unlisted special service, procedure or report | 23% | 60,902 | 37,508 | $352K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,192 | 2,640 | $184K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.8% | 1,715 | 1,403 | $59K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 4,435 | 3,934 | $57K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.6% | 2,901 | 2,639 | $56K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 2,973 | 1,334 | $39K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 930 | 826 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 273 | 243 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,613 | 1,308 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 135 | 129 | $12K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 567 | 454 | $10K |
19 more codes
| 96127 | <1% | 1,580 | $6K | |
| 81002 | <1% | 3,010 | $5K | |
| 85018 | <1% | 2,916 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 160 | $3K |
| 87807 | <1% | 176 | $2K | |
| 92551 | <1% | 1,953 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 20 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $935.04 |
| 99442 | <1% | 18 | $871.29 | |
| 99173 | <1% | 2,094 | $817.28 | |
| 90686 | <1% | 811 | $478.04 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $456.12 |
| 90734 | <1% | 28 | $443.22 | |
| 90651 | <1% | 14 | $210.24 | |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $201.36 |
| 36415 | Collection of venous blood by venipuncture | <1% | 32 | $78.30 |
| 90707 | 0% | 13 | $0.00 | |
| 90670 | 0% | 32 | $0.00 | |
| 90647 | 0% | 18 | $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 officialFRANKLIN, PAULA (OWNER/PROVIDER)