Behavioral
Cornelius F. Cathcart, Pediatrics, PA
Cornelius F. Cathcart, Pediatrics, PA was paid $3.60M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 21% of everything it billed.
33Billing provider infoCORNELIUS F. CATHCART, PEDIATRICS, PA
LOUISBURG, NC 27549
LOUISBURG, NC 27549
33aNPI1407137938assigned 08/29/2011
33bProvider typeClinical Social Worker
28Total paid$3.60M
24GClaims213,525
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in North Carolina
Rank by total paid#13 of 291
Median peer was paid$39K
This provider vs. median92×
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 | 14,760 | $408K | |
| 2019 | 12,512 | $408K | |
| 2020 | 10,628 | $345K | |
| 2021 | 24,259 | $532K | |
| 2022 | 47,816 | $700K | |
| 2023 | 49,838 | $624K | |
| 2024incomplete | 53,712 | $582K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 21% | 128,063 | 70,606 | $763K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 12,978 | 10,764 | $745K |
| 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 | 20% | 8,727 | 7,320 | $730K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 2,467 | 2,240 | $210K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 2,085 | 1,867 | $179K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 2,073 | 1,864 | $170K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 4,035 | 3,584 | $160K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.2% | 4,211 | 3,111 | $150K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 7,339 | 6,488 | $143K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 909 | 814 | $87K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 6,092 | 2,562 | $79K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 4,849 | 4,310 | $39K |
48 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,320 | $30K |
| 90474 | <1% | 725 | $14K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,484 | $13K |
| 81002 | <1% | 3,886 | $9K | |
| 0071A | <1% | 147 | $7K | |
| 0072A | <1% | 131 | $7K | |
| 96127 | <1% | 1,414 | $6K | |
| 83655 | <1% | 391 | $5K | |
| 90651 | <1% | 277 | $5K | |
| 92552 | <1% | 591 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 271 | $5K |
| 87807 | <1% | 339 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 169 | $4K |
| 99381 | <1% | 46 | $4K | |
| 99401 | <1% | 168 | $4K | |
| 0002A | <1% | 85 | $3K | |
| 0001A | <1% | 38 | $2K | |
| 90686 | <1% | 2,441 | $2K | |
| 99173 | <1% | 4,290 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 169 | $2K |
| 90734 | <1% | 141 | $2K | |
| 92551 | <1% | 1,719 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 84 | $967.10 |
| 82465 | <1% | 179 | $886.53 | |
| 99050 | <1% | 20 | $556.00 | |
| 99051 | <1% | 15 | $397.20 | |
| 92587 | <1% | 17 | $350.16 | |
| 99441 | <1% | 19 | $321.88 | |
| 90715 | <1% | 55 | $316.89 | |
| 90688 | <1% | 108 | $228.35 | |
| 90619 | <1% | 12 | $160.02 | |
| 90716 | <1% | 663 | $124.91 | |
| 90633 | <1% | 582 | $98.52 | |
| 81025 | <1% | 12 | $93.60 | |
| 90707 | <1% | 646 | $70.73 | |
| 99177 | <1% | 106 | $46.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $32.40 |
| 90670 | 0% | 1,479 | $0.00 | |
| 90685 | 0% | 65 | $0.00 | |
| 91300 | 0% | 171 | $0.00 | |
| 1003F | 0% | 800 | $0.00 | |
| 90700 | 0% | 60 | $0.00 | |
| 92081 | 0% | 12 | $0.00 | |
| 90647 | 0% | 1,100 | $0.00 | |
| 90723 | 0% | 1,092 | $0.00 | |
| 90680 | 0% | 748 | $0.00 | |
| 90696 | 0% | 86 | $0.00 | |
| 91307 | 0% | 312 | $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 officialCATHCART, CORNELIUS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Cornelius F. Cathcart, Pediatrics,pa | Henderson, NC | $9.31M |
| Cornelius F. Cathcart, Pediatrics, PA | Oxford, NC | $3.86M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.