Physician
William C. Hayes, JR., MD & Associates, Pediatrics, P.A.
William C. Hayes, JR., MD & Associates, Pediatrics, P.A. was paid $466K by Medicaid between Jan 2018 and Mar 2019, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoWILLIAM C. HAYES, JR., MD & ASSOCIATES, PEDIATRICS, P.A.
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1336243849assigned 09/13/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$466K
24GClaims13,947
24DCodes billed31
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in North Carolina
Rank by total paid#15 of 20
Median peer was paid$4.16M
This provider vs. median0.1×
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 | 11,271 | $375K | |
| 2019 | 2,676 | $91K |
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 | 35% | 2,044 | 1,797 | $164K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,378 | 1,195 | $75K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 442 | 372 | $48K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.5% | 2,289 | 2,050 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.1% | 266 | 263 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 229 | 206 | $18K |
| 99070 | 3.6% | 1,885 | 1,618 | $17K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.3% | 247 | 243 | $16K |
| 69210 | 2.9% | 315 | 281 | $13K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 360 | 355 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 515 | 508 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 700 | 680 | $10K |
19 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 134 | $9K |
| 80061 | Lipid panel | 1.6% | 465 | $7K |
| 99354 | 1.0% | 65 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 175 | $4K |
| 87081 | <1% | 630 | $4K | |
| 94010 | <1% | 163 | $4K | |
| 94150 | <1% | 232 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 274 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 174 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 57 | $722.78 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 44 | $593.46 |
| 90686 | <1% | 94 | $99.30 | |
| 92551 | <1% | 243 | $65.12 | |
| 81002 | <1% | 15 | $44.10 | |
| 99173 | <1% | 217 | $12.00 | |
| 96161 | <1% | 13 | $3.74 | |
| 90723 | 0% | 30 | $0.00 | |
| 90648 | 0% | 110 | $0.00 | |
| 90670 | 0% | 142 | $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 officialHAYES, WILLIAM (OWNER/M.D.)
| Provider | Location | Paid |
|---|---|---|
| Dianon System INC | Burlington, NC | $572K |
| Laboratory Corporation of America Holdings | Rayville, LA | $48K |
| Laboratory Corporation of America | Louisville, KY | $17K |
| Laboratory Corporation of America Holdings | Tucker, GA | $76.28 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.