Clinic
Shalom Pediatric Clinic
Shalom Pediatric Clinic was paid $518K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoSHALOM PEDIATRIC CLINIC
GREENSBORO, NC 27406
GREENSBORO, NC 27406
33aNPI1316227739assigned 08/17/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$518K
24GClaims35,939
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#38 of 116
Median peer was paid$226K
This provider vs. median2.3×
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 | 4,300 | $148K | |
| 2019 | 4,103 | $142K | |
| 2020 | 1,956 | $109K | |
| 2021 | 1,352 | $40K | |
| 2022 | 6,490 | $28K | |
| 2023 | 11,158 | $31K | |
| 2024incomplete | 6,580 | $19K |
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 | 34% | 1,315 | 1,122 | $176K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 28% | 1,066 | 677 | $142K |
| 99199 | Unlisted special service, procedure or report | 16% | 25,241 | 25,144 | $82K |
| 99354 | 3.2% | 166 | 154 | $17K | |
| 94644 | 3.0% | 616 | 512 | $15K | |
| 99070 | 2.8% | 1,696 | 1,314 | $15K | |
| 94150 | 2.7% | 810 | 649 | $14K | |
| 94664 | 2.4% | 1,074 | 846 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 650 | 245 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 500 | 471 | $7K |
| 99058 | 1.1% | 362 | 296 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 579 | 534 | $5K |
9 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 409 | $5K |
| 92553 | <1% | 231 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 44 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $3K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $2K |
| 92551 | <1% | 273 | $1K | |
| 99173 | <1% | 534 | $4.10 | |
| 90649 | <1% | 12 | $1.11 | |
| 90656 | 0% | 320 | $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 officialNNAEMEKAOKOYEH, RITA (MEDICAL DIRECTOR)