University of North Carolina Hospitals at Chapel Hill
University of North Carolina Hospitals at Chapel Hill was paid $2.67M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
CHAPEL HILL, NC 27517
Next to other Pediatrics Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,932 | $337K | |
| 2019 | 11,564 | $419K | |
| 2020 | 5,651 | $243K | |
| 2021 | 15,204 | $352K | |
| 2022 | 36,806 | $446K | |
| 2023 | 37,852 | $490K | |
| 2024incomplete | 28,910 | $379K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 12,912 | 11,452 | $810K |
| 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 | 23% | 6,499 | 5,749 | $603K |
| 99199 | Unlisted special service, procedure or report | 16% | 85,272 | 62,755 | $415K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 9,925 | 8,462 | $354K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 1,155 | 1,006 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 893 | 830 | $73K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 3,058 | 2,599 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 486 | 424 | $44K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.6% | 398 | 284 | $41K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 4,261 | 3,715 | $33K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 1,023 | 838 | $31K |
| 96127 | <1% | 4,526 | 3,765 | $18K |
36 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 126 | $11K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 109 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $9K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 130 | $9K |
| 92551 | <1% | 2,642 | $6K | |
| 0071A | <1% | 160 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 42 | $6K |
| 90686 | <1% | 6,618 | $5K | |
| 99243 | <1% | 40 | $5K | |
| 0072A | <1% | 85 | $4K | |
| 99443 | <1% | 51 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 164 | $4K |
| 99417 | Prolong home eval add 15m | <1% | 14 | $4K |
| 99499 | <1% | 21 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 45 | $3K |
| 99173 | <1% | 2,801 | $2K | |
| 99401 | <1% | 81 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 179 | $2K |
| 99442 | <1% | 25 | $1K | |
| 90480 | <1% | 35 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 322 | $750.18 |
| 96161 | <1% | 63 | $199.99 | |
| 90656 | <1% | 555 | $163.22 | |
| 96160 | <1% | 51 | $138.38 | |
| 99051 | <1% | 13 | $79.44 | |
| 81003 | <1% | 13 | $22.32 | |
| 90647 | 0% | 85 | $0.00 | |
| 90723 | 0% | 95 | $0.00 | |
| 99000 | 0% | 13 | $0.00 | |
| 90680 | 0% | 44 | $0.00 | |
| 1003F | 0% | 255 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 1,255 | $0.00 |
| 90670 | 0% | 217 | $0.00 | |
| 91321 | 0% | 14 | $0.00 | |
| 99491 | Ccm add 20min | 0% | 58 | $0.00 |
| 90633 | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.