Physician
Carolina Pediatrics & Adolescent Care, PA
Carolina Pediatrics & Adolescent Care, PA was paid $12.32M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoCAROLINA PEDIATRICS & ADOLESCENT CARE, PA
COLUMBIA, SC 29203
COLUMBIA, SC 29203
33aNPI1306805056assigned 03/21/2006
33bProvider typePediatrics Physician
28Total paid$12.32M
24GClaims289,374
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#9 of 471
Median peer was paid$18K
This provider vs. median698×
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 | 36,029 | $1.37M | |
| 2019 | 35,097 | $1.44M | |
| 2020 | 41,104 | $1.62M | |
| 2021 | 47,523 | $1.98M | |
| 2022 | 45,667 | $2.01M | |
| 2023 | 46,908 | $2.10M | |
| 2024incomplete | 37,046 | $1.80M |
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 | 27% | 47,998 | 44,140 | $3.35M |
| 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% | 23,124 | 22,025 | $2.31M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 9,888 | 9,752 | $1.00M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 28,953 | 28,404 | $988K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 9,618 | 9,510 | $970K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 8,782 | 7,936 | $822K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 6,968 | 6,865 | $755K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.0% | 7,524 | 7,289 | $375K |
| 99188 | 2.7% | 20,410 | 20,122 | $328K | |
| G9153 | Mapcp demonstration - physician incentive pool | 2.2% | 5,255 | 5,130 | $273K |
| 90461 | 1.9% | 8,106 | 7,926 | $230K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 12,957 | 6,364 | $186K |
60 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,329 | $100K |
| 96127 | <1% | 10,952 | $92K | |
| 96160 | <1% | 10,240 | $82K | |
| 96161 | <1% | 10,159 | $79K | |
| 99070 | <1% | 9,819 | $65K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,814 | $54K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,615 | $42K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,972 | $37K |
| 92551 | <1% | 5,310 | $25K | |
| 85018 | <1% | 7,367 | $18K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 150 | $15K |
| 83655 | <1% | 1,134 | $14K | |
| 81002 | <1% | 4,415 | $14K | |
| 99177 | <1% | 2,654 | $12K | |
| 87807 | <1% | 843 | $10K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 370 | $10K |
| 80061 | Lipid panel | <1% | 762 | $8K |
| 0071A | <1% | 170 | $7K | |
| 0072A | <1% | 135 | $5K | |
| 69210 | <1% | 150 | $5K | |
| 87428 | <1% | 81 | $5K | |
| 99051 | <1% | 359 | $4K | |
| 82947 | <1% | 1,054 | $4K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 26 | $3K |
| 99460 | <1% | 24 | $2K | |
| 90686 | <1% | 6,915 | $2K | |
| 90651 | <1% | 1,810 | $2K | |
| 99383 | <1% | 15 | $2K | |
| 99382 | <1% | 14 | $2K | |
| 99442 | <1% | 48 | $2K | |
| 90620 | <1% | 154 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $1K |
| 94664 | <1% | 53 | $622.29 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 185 | $582.14 |
| 90677 | <1% | 545 | $288.66 | |
| 69209 | <1% | 14 | $278.36 | |
| 90734 | <1% | 505 | $273.74 | |
| 99406 | <1% | 18 | $192.60 | |
| 90697 | <1% | 251 | $143.51 | |
| 90698 | <1% | 2,293 | $133.25 | |
| 90670 | <1% | 3,148 | $122.59 | |
| 36416 | <1% | 203 | $69.29 | |
| 90680 | <1% | 1,054 | $58.63 | |
| 90715 | <1% | 73 | $39.05 | |
| 99173 | <1% | 39 | $37.31 | |
| 90633 | <1% | 1,559 | $31.98 | |
| 90672 | <1% | 56 | $29.28 | |
| 90688 | <1% | 51 | $15.39 | |
| 90744 | <1% | 632 | $10.66 | |
| 91307 | <1% | 211 | $5.33 | |
| 90696 | 0% | 40 | $0.00 | |
| 90619 | 0% | 179 | $0.00 | |
| 90656 | 0% | 379 | $0.00 | |
| 90716 | 0% | 52 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 90660 | 0% | 29 | $0.00 | |
| 90710 | 0% | 56 | $0.00 | |
| 90685 | 0% | 187 | $0.00 | |
| 90648 | 0% | 41 | $0.00 | |
| 90707 | 0% | 53 | $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 officialMUBARAK, PHILIP (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Pediatric After Hours Care LLC | Columbia, SC | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.