Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lake Norman Pediatrics, PA

Lake Norman Pediatrics, PA was paid $314K by Medicaid between Jan 2018 and Sep 2018, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoLAKE NORMAN PEDIATRICS, PA
MOORESVILLE, NC 28115
33aNPI1427015254assigned 04/26/2006
33bProvider typePediatrics Physician
28Total paid$314K
24GClaims10,899
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#278 of 433
Median peer was paid$942K
This provider vs. median0.3×

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

$0$20K$40K$60K2018201920202021202220232024
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
201810,899$314K
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 48% 3,009 2,743 $151K
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 21% 872 809 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6.3% 1,511 1,411 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.3% 891 819 $17K
90472 Immunization administration, each additional vaccine (list separately) 4.5% 342 328 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.7% 111 108 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.2% 112 92 $7K
87081 2.1% 999 931 $7K
99051 1.8% 233 215 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.6% 376 184 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.0% 42 42 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 43 39 $3K
10 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 639 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 285 $3K
D0145 Oral evaluation for a patient under three years of age <1% 25 $829.20
81005 <1% 306 $498.99
D1206 Topical application of fluoride varnish <1% 25 $366.00
99173 <1% 465 $23.00
92551 <1% 173 $3.00
90670 0% 15 $0.00
36416 0% 412 $0.00
90698 0% 13 $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 officialCAVIN, KIM (OFFICE MANAGER)