Physician
Sanford Pediatrics, P.A.
Sanford Pediatrics, P.A. was paid $10.81M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoSANFORD PEDIATRICS, P.A.
SANFORD, NC 27330
SANFORD, NC 27330
33aNPI1356300248assigned 03/21/2006
33bProvider typePediatrics Physician
28Total paid$10.81M
24GClaims550,842
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#29 of 433
Median peer was paid$942K
This provider vs. median11×
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 | 37,477 | $1.04M | |
| 2019 | 39,753 | $1.20M | |
| 2020 | 34,652 | $1.12M | |
| 2021 | 75,230 | $1.59M | |
| 2022 | 125,237 | $2.08M | |
| 2023 | 118,958 | $1.97M | |
| 2024incomplete | 119,535 | $1.80M |
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 | 23% | 27,064 | 22,533 | $2.53M |
| 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% | 27,718 | 23,168 | $1.77M |
| 99199 | Unlisted special service, procedure or report | 15% | 256,555 | 142,813 | $1.59M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10.0% | 19,836 | 17,155 | $1.08M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 8,387 | 7,463 | $780K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 8,180 | 6,843 | $723K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 5,220 | 4,480 | $494K |
| 99401 | 2.7% | 8,959 | 6,391 | $291K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.4% | 7,721 | 6,921 | $264K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 2,234 | 1,841 | $231K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 13,357 | 11,807 | $127K |
| D1206 | Topical application of fluoride varnish | 1.1% | 7,722 | 6,920 | $115K |
72 more codes
| 99051 | <1% | 4,256 | $101K | |
| 94664 | <1% | 7,848 | $81K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,283 | $70K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,311 | $63K |
| 80061 | Lipid panel | <1% | 3,689 | $57K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 472 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,425 | $53K |
| 96127 | <1% | 12,780 | $51K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 789 | $30K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,195 | $29K |
| 92551 | <1% | 14,218 | $28K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,842 | $17K |
| 83655 | <1% | 1,068 | $15K | |
| 87070 | <1% | 1,579 | $15K | |
| 82947 | <1% | 2,976 | $14K | |
| 0072A | <1% | 249 | $13K | |
| 99173 | <1% | 15,449 | $12K | |
| 0071A | <1% | 245 | $11K | |
| 90651 | <1% | 313 | $11K | |
| 90688 | <1% | 6,679 | $10K | |
| 96160 | <1% | 2,882 | $9K | |
| 96161 | <1% | 2,704 | $9K | |
| 0001A | <1% | 162 | $7K | |
| 99070 | <1% | 1,052 | $7K | |
| 0002A | <1% | 96 | $6K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 256 | $5K |
| 85018 | <1% | 1,718 | $4K | |
| 87428 | <1% | 44 | $3K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 64 | $3K |
| 99381 | <1% | 25 | $2K | |
| 90734 | <1% | 79 | $2K | |
| 0124A | <1% | 26 | $1K | |
| 90480 | <1% | 28 | $1K | |
| 90686 | <1% | 2,676 | $1K | |
| 0054A | <1% | 19 | $1K | |
| 0074A | <1% | 25 | $1K | |
| 88738 | <1% | 188 | $1K | |
| 0081A | <1% | 15 | $975.00 | |
| 0154A | <1% | 26 | $845.00 | |
| 69210 | <1% | 27 | $844.12 | |
| 94760 | <1% | 5,801 | $747.69 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 43 | $590.44 |
| 90620 | <1% | 13 | $386.10 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 27 | $241.45 |
| 90671 | <1% | 756 | $221.83 | |
| 90670 | <1% | 4,200 | $207.29 | |
| 81003 | <1% | 53 | $128.16 | |
| 90633 | <1% | 964 | $102.24 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 42 | $98.80 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 42 | $71.37 |
| 90656 | <1% | 917 | $20.53 | |
| 90647 | 0% | 3,232 | $0.00 | |
| 36416 | 0% | 10,811 | $0.00 | |
| 99000 | 0% | 7,014 | $0.00 | |
| 91305 | 0% | 145 | $0.00 | |
| 90677 | 0% | 356 | $0.00 | |
| 90744 | 0% | 1,023 | $0.00 | |
| 90716 | 0% | 505 | $0.00 | |
| 90680 | 0% | 2,601 | $0.00 | |
| 91307 | 0% | 665 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 42 | $0.00 |
| 90619 | 0% | 15 | $0.00 | |
| 91315 | 0% | 26 | $0.00 | |
| 90700 | 0% | 7,337 | $0.00 | |
| 90707 | 0% | 513 | $0.00 | |
| 99177 | 0% | 4,937 | $0.00 | |
| 90713 | 0% | 5,069 | $0.00 | |
| 91312 | 0% | 26 | $0.00 | |
| 90461 | 0% | 155 | $0.00 | |
| 90687 | 0% | 1,346 | $0.00 | |
| 91300 | 0% | 344 | $0.00 | |
| 91308 | 0% | 91 | $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 officialANGEL, TOMMIE (PRACTICE MANAGER)