Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Abc Pediatrics of Dunn, PA

Abc Pediatrics of Dunn, PA was paid $28.10M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoABC PEDIATRICS OF DUNN, PA
DUNN, NC 28334
33aNPI1417061011assigned 08/19/2006
33bProvider typeSpecialist
28Total paid$28.10M
24GClaims1,315,568
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in North Carolina

Rank by total paid#1 of 172
Median peer was paid$83K
This provider vs. median340×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201899,655$2.89M
201997,146$2.77M
202097,338$2.72M
2021197,762$4.38M
2022300,930$6.00M
2023273,278$5.19M
2024incomplete249,459$4.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 102,750 87,262 $5.77M
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 12% 41,407 34,375 $3.41M
99199 Unlisted special service, procedure or report 10% 488,655 286,832 $2.93M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8.5% 18,337 14,688 $2.40M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4.6% 9,770 9,179 $1.30M
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 3.3% 3,934 1,063 $940K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.3% 11,240 10,117 $920K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.2% 11,589 9,780 $908K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.1% 13,737 12,814 $866K
99401 3.1% 29,093 22,587 $862K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.7% 12,538 9,299 $747K
90472 Immunization administration, each additional vaccine (list separately) 2.6% 20,782 18,350 $735K
104 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.6% 8,787 $724K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.4% 36,325 $672K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 5,780 $510K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.7% 36,228 $482K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.7% 66,450 $467K
86328 1.3% 9,852 $378K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.0% 3,953 $292K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,397 $244K
87081 <1% 33,532 $224K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 993 $220K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,923 $151K
96112 <1% 1,278 $140K
90791 Psychiatric diagnostic evaluation <1% 1,301 $136K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 14,801 $129K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,195 $108K
82465 <1% 22,237 $106K
90832 Psychotherapy session, about 30 minutes <1% 2,389 $103K
87634 <1% 2,530 $73K
D0145 Oral evaluation for a patient under three years of age <1% 2,153 $69K
95117 <1% 7,440 $69K
99443 <1% 1,095 $68K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 3,201 $61K
90474 <1% 3,105 $60K
99051 <1% 2,126 $53K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,828 $49K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,825 $49K
96127 <1% 11,944 $48K
92551 <1% 23,961 $47K
80053 Comprehensive metabolic panel <1% 4,548 $44K
96160 <1% 20,378 $44K
90651 <1% 1,761 $40K
0240U <1% 281 $37K
81003 <1% 22,801 $35K
96111 <1% 324 $33K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,726 $32K
D1206 Topical application of fluoride varnish <1% 2,165 $31K
80305 <1% 1,991 $25K
83655 <1% 1,768 $23K
36415 Collection of venous blood by venipuncture <1% 7,004 $18K
90837 Psychotherapy session, about an hour <1% 208 $16K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,853 $15K
0072A <1% 240 $14K
0002A <1% 263 $14K
99173 <1% 24,450 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 1,101 $12K
90734 <1% 662 $11K
90686 <1% 7,293 $11K
94664 <1% 1,018 $10K
0001A <1% 329 $9K
87086 Culture, bacterial; quantitative colony count, urine <1% 932 $9K
81001 <1% 3,158 $8K
0071A <1% 144 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 777 $7K
80061 Lipid panel <1% 471 $7K
E0570 Nebulizer, with compressor <1% 52 $6K
69210 <1% 186 $6K
99442 <1% 156 $6K
90621 <1% 330 $5K
94150 <1% 669 $5K
90619 <1% 843 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 281 $5K
98968 <1% 195 $4K
90846 Family psychotherapy without the patient present, 50 minutes <1% 67 $3K
94010 <1% 165 $3K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 783 $2K
90715 <1% 412 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 24 $2K
A4614 Peak expiratory flow rate meter, hand held <1% 69 $2K
G0312 Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) <1% 42 $1K
90661 <1% 1,196 $1K
95115 <1% 117 $793.53
94760 <1% 7,054 $740.55
90674 <1% 812 $695.29
86308 <1% 75 $458.29
95012 <1% 31 $443.52
90670 <1% 5,793 $400.00
36416 <1% 62,430 $274.88
90716 <1% 1,100 $264.80
96380 <1% 16 $257.10
81025 <1% 35 $241.80
90671 <1% 1,577 $232.45
90633 <1% 1,270 $230.68
99402 <1% 33 $118.14
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 22 $112.80
90707 <1% 1,062 $74.97
A4617 Mouth piece <1% 31 $70.00
96161 <1% 17 $63.58
91300 <1% 738 $28.60
90744 <1% 1,311 $26.08
99072 <1% 17,957 $0.88
90700 0% 984 $0.00
90685 0% 343 $0.00
90713 0% 86 $0.00
3078F 0% 64 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 1,345 $0.00
90698 0% 4,060 $0.00
99000 0% 7,627 $0.00
90680 0% 3,199 $0.00
91307 0% 475 $0.00
90647 0% 42 $0.00
91305 0% 62 $0.00
3044F 0% 102 $0.00
90697 0% 80 $0.00
3074F 0% 41 $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 officialCHIODO, VINCENT (OWNER)