Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Richmond Pediatrics

Richmond Pediatrics was paid $479K by Medicaid between Feb 2018 and Dec 2024, across 28 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 74% of everything it billed.

33Billing provider infoRICHMOND PEDIATRICS
ROCKINGHAM, NC 28379
33aNPI1316008626assigned 12/12/2006
33bProvider typePediatrics Physician
28Total paid$479K
24GClaims66,270
24DCodes billed28
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#259 of 433
Median peer was paid$942K
This provider vs. median0.5×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018153$0.00
2019960$0.00
2020269$1K
20216,951$55K
202217,850$96K
202318,001$95K
2024incomplete22,086$231K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 74% 60,524 37,971 $354K
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 9.0% 970 697 $43K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.5% 1,472 1,011 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.0% 189 134 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.7% 156 117 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.6% 128 85 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.1% 119 65 $5K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 361 248 $3K
D1206 Topical application of fluoride varnish <1% 188 104 $1K
D0145 Oral evaluation for a patient under three years of age <1% 57 35 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 142 121 $564.70
92551 <1% 323 220 $539.34
16 more codes
99173 <1% 498 $510.20
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 117 $480.42
90461 <1% 179 $473.39
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 102 $395.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 272 $341.71
96127 <1% 34 $191.25
90660 <1% 17 $101.76
90688 0% 13 $0.00
90686 0% 141 $0.00
3008F 0% 74 $0.00
90651 0% 16 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 32 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 36 $0.00
90671 0% 44 $0.00
90633 0% 30 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 36 $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 officialKHAN, SHAMSUL (PHYSICIAN OWNER)