Physician
Pediatric Practice
Pediatric Practice was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99205, Prolong outpt/office vis — 29% of everything it billed.
33Billing provider infoPEDIATRIC PRACTICE
FAYETTEVILLE, NC 28301
FAYETTEVILLE, NC 28301
33aNPI1396907903assigned 06/26/2008
33bProvider typePediatric Endocrinology Physician
28Total paid$1.26M
24GClaims30,309
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Endocrinology Physician providers in North Carolina
Rank by total paid#3 of 10
Median peer was paid$545K
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 | 1,894 | $130K | |
| 2019 | 2,077 | $155K | |
| 2020 | 1,886 | $162K | |
| 2021 | 2,885 | $214K | |
| 2022 | 6,380 | $198K | |
| 2023 | 7,506 | $185K | |
| 2024incomplete | 7,681 | $211K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 29% | 2,454 | 2,155 | $367K |
| 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 | 25% | 4,611 | 4,194 | $319K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 4,841 | 4,481 | $224K |
| 99199 | Unlisted special service, procedure or report | 7.2% | 15,055 | 8,160 | $91K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.3% | 660 | 625 | $79K |
| 99245 | 4.2% | 348 | 339 | $52K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.0% | 416 | 403 | $50K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 466 | 422 | $40K |
| 95251 | 2.6% | 1,266 | 1,132 | $33K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 21 | 14 | $37.80 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 171 | 128 | $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 officialNAGOWSKI, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cumberland Co. Hospital System INC | Fayetteville, NC | $727K |
| Cumberland County Hospital System INC | Fayetteville, NC | $40K |
| Cape Fear Valley Health System Specialty Group, LLC | Lumberton, NC | $14K |
| Cape Fear Valley Health System Specialty Group, LLC | Dunn, NC | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.