Physician
Kings Mountain Pediatric Clinic
Kings Mountain Pediatric Clinic was paid $569K by Medicaid between Jan 2018 and Jan 2024, across 18 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 40% of everything it billed.
33Billing provider infoKINGS MOUNTAIN PEDIATRIC CLINIC
KINGS MOUNTAIN, NC 28086
KINGS MOUNTAIN, NC 28086
33aNPI1336127570assigned 01/06/2006
33bProvider typePediatrics Physician
28Total paid$569K
24GClaims44,835
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#248 of 433
Median peer was paid$942K
This provider vs. median0.6×
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 | 1,871 | $69K | |
| 2019 | 1,603 | $70K | |
| 2020 | 940 | $45K | |
| 2021 | 5,574 | $82K | |
| 2022 | 12,433 | $130K | |
| 2023 | 20,941 | $164K | |
| 2024incomplete | 1,473 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 40% | 37,246 | 18,392 | $228K |
| 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 | 31% | 2,068 | 1,587 | $176K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,109 | 1,699 | $123K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 1,194 | 982 | $20K |
| 87430 | 1.2% | 553 | 481 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 96 | 71 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 214 | 175 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 284 | 248 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16 | 14 | $979.96 |
| 96127 | <1% | 278 | 227 | $944.33 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 60 | 29 | $847.80 |
| 81000 | <1% | 184 | 147 | $370.94 |
6 more codes
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 officialSTALLINGS, MARTIN (DOCTOR)