Physician
Boiling Springs Pediatric & Family Medicine
Boiling Springs Pediatric & Family Medicine was paid $653K by Medicaid between Jan 2018 and Nov 2021, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoBOILING SPRINGS PEDIATRIC & FAMILY MEDICINE
SHELBY, NC 28152
SHELBY, NC 28152
33aNPI1407172091assigned 04/08/2010
33bProvider typePediatrics Physician
28Total paid$653K
24GClaims17,198
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#241 of 433
Median peer was paid$942K
This provider vs. median0.7×
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 | 7,589 | $223K | |
| 2019 | 5,729 | $293K | |
| 2020 | 2,320 | $128K | |
| 2021 | 1,560 | $9K |
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 | 68% | 6,063 | 4,557 | $446K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,021 | 1,373 | $78K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 350 | 272 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 260 | 225 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 1,218 | 986 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 1,307 | 1,036 | $15K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 643 | 508 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 183 | 127 | $10K |
| 99199 | Unlisted special service, procedure or report | 1.2% | 1,525 | 1,370 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 598 | 488 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 653 | 514 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 57 | 50 | $4K |
17 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 215 | $2K |
| 81002 | <1% | 203 | $388.57 | |
| 90474 | <1% | 15 | $245.40 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14 | $204.50 |
| 92552 | <1% | 501 | $162.50 | |
| 90633 | <1% | 92 | $89.31 | |
| 90686 | <1% | 86 | $17.74 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 119 | $3.68 |
| 99173 | <1% | 567 | $1.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 90670 | 0% | 125 | $0.00 | |
| 90710 | 0% | 24 | $0.00 | |
| 90649 | 0% | 16 | $0.00 | |
| 90734 | 0% | 15 | $0.00 | |
| 90698 | 0% | 205 | $0.00 | |
| 90744 | 0% | 16 | $0.00 | |
| 90688 | 0% | 93 | $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 officialGROSSELL, MICHAEL (OWNER)