Physician
The Childhealth Center, PA
The Childhealth Center, PA was paid $8.20M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoTHE CHILDHEALTH CENTER, PA
HICKORY, NC 28601
HICKORY, NC 28601
33aNPI1295729747assigned 09/09/2005
33bProvider typePediatrics Physician
28Total paid$8.20M
24GClaims468,883
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#47 of 433
Median peer was paid$942K
This provider vs. median8.7×
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 | 42,357 | $1.04M | |
| 2019 | 34,009 | $979K | |
| 2020 | 26,822 | $823K | |
| 2021 | 59,982 | $1.31M | |
| 2022 | 108,215 | $1.58M | |
| 2023 | 102,968 | $1.39M | |
| 2024incomplete | 94,530 | $1.08M |
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 | 32% | 44,349 | 39,147 | $2.64M |
| 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% | 18,003 | 15,578 | $1.58M |
| 99199 | Unlisted special service, procedure or report | 8.8% | 225,365 | 153,452 | $726K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 7,967 | 7,166 | $664K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 6,388 | 5,810 | $543K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.3% | 22,762 | 20,459 | $432K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 11,384 | 10,270 | $313K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 22,425 | 19,948 | $292K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 3,093 | 2,706 | $263K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 13,003 | 11,772 | $125K |
| 87081 | 1.3% | 16,294 | 14,419 | $105K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 6,287 | 3,260 | $91K |
61 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,046 | $78K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,904 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,401 | $48K |
| 90474 | <1% | 1,518 | $30K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 253 | $30K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 336 | $30K |
| D1206 | Topical application of fluoride varnish | <1% | 1,905 | $28K |
| 80061 | Lipid panel | <1% | 1,063 | $15K |
| 92551 | <1% | 10,554 | $15K | |
| 99051 | <1% | 472 | $11K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 76 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 253 | $9K |
| 96160 | <1% | 1,998 | $7K | |
| 96127 | <1% | 1,690 | $7K | |
| 83655 | <1% | 512 | $7K | |
| 96161 | <1% | 1,835 | $7K | |
| 90686 | <1% | 4,424 | $6K | |
| 82947 | <1% | 1,073 | $5K | |
| 99401 | <1% | 93 | $3K | |
| 0071A | <1% | 69 | $3K | |
| 0072A | <1% | 49 | $3K | |
| 99460 | <1% | 25 | $2K | |
| 90651 | <1% | 92 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 28 | $2K |
| 99173 | <1% | 1,770 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | $820.96 |
| 90734 | <1% | 61 | $737.10 | |
| 90697 | <1% | 164 | $731.88 | |
| 90670 | <1% | 3,496 | $596.38 | |
| 90619 | <1% | 30 | $457.22 | |
| 87807 | <1% | 30 | $366.57 | |
| 87400 | <1% | 24 | $339.12 | |
| 99177 | <1% | 630 | $318.42 | |
| 90677 | <1% | 286 | $269.40 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 28 | $254.39 |
| 36415 | Collection of venous blood by venipuncture | <1% | 95 | $252.30 |
| 87070 | <1% | 17 | $178.40 | |
| 81000 | <1% | 41 | $139.95 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $132.34 |
| 36416 | <1% | 10,029 | $122.35 | |
| 90715 | <1% | 38 | $82.76 | |
| 99172 | <1% | 2,244 | $68.00 | |
| 90688 | <1% | 32 | $63.20 | |
| 90744 | <1% | 551 | $53.22 | |
| 90672 | <1% | 18 | $47.28 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 13 | $33.80 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 13 | $23.79 |
| 94760 | <1% | 33 | $8.28 | |
| 90698 | <1% | 3,056 | $1.30 | |
| 90661 | <1% | 309 | $0.57 | |
| 90680 | <1% | 1,513 | $0.12 | |
| 90674 | <1% | 1,088 | $0.06 | |
| 99174 | 0% | 1,699 | $0.00 | |
| 99000 | 0% | 2,838 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 91307 | 0% | 118 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 13 | $0.00 |
| 90633 | 0% | 347 | $0.00 | |
| 90685 | 0% | 64 | $0.00 | |
| 99072 | 0% | 138 | $0.00 | |
| 90707 | 0% | 14 | $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 officialSUMMER, KENNETH (PRESIDENT)