Physician
Carolina Pediatric Group, P.A.
Carolina Pediatric Group, P.A. was paid $1.90M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoCAROLINA PEDIATRIC GROUP, P.A.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1467595959assigned 02/14/2007
33bProvider typePediatrics Physician
28Total paid$1.90M
24GClaims113,197
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#166 of 433
Median peer was paid$942K
This provider vs. median2.0×
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 | 5,952 | $173K | |
| 2019 | 7,414 | $210K | |
| 2020 | 6,006 | $206K | |
| 2021 | 15,790 | $296K | |
| 2022 | 25,628 | $362K | |
| 2023 | 23,387 | $325K | |
| 2024incomplete | 29,020 | $329K |
Box 24 · Service lines
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 | 32% | 11,281 | 8,781 | $600K |
| 99199 | Unlisted special service, procedure or report | 20% | 65,531 | 41,342 | $374K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 2,130 | 1,679 | $162K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 1,647 | 1,392 | $132K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 1,207 | 992 | $94K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.9% | 5,273 | 4,302 | $94K |
| 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 | 4.8% | 1,185 | 974 | $92K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 825 | 648 | $71K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 2,396 | 1,981 | $57K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.5% | 1,923 | 1,416 | $47K |
| 99401 | 1.4% | 1,135 | 789 | $28K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 2,548 | 2,130 | $23K |
33 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 1,575 | $19K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 544 | $17K |
| 92552 | <1% | 3,329 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 432 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,013 | $13K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 152 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 545 | $8K |
| 97802 | <1% | 1,018 | $8K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 229 | $6K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 133 | $3K |
| 90474 | <1% | 174 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 85 | $3K |
| 96160 | <1% | 923 | $3K | |
| 99460 | <1% | 36 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 34 | $2K |
| 99173 | <1% | 2,775 | $2K | |
| 90686 | <1% | 1,533 | $1K | |
| 90651 | <1% | 57 | $704.86 | |
| 99070 | <1% | 44 | $184.62 | |
| 85018 | <1% | 20 | $58.40 | |
| 81002 | <1% | 15 | $15.75 | |
| 90698 | <1% | 301 | $0.04 | |
| 90670 | <1% | 659 | $0.01 | |
| 90680 | 0% | 164 | $0.00 | |
| 90744 | 0% | 83 | $0.00 | |
| 36416 | 0% | 20 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 12 | $0.00 |
| 3008F | 0% | 13 | $0.00 | |
| 90633 | 0% | 62 | $0.00 | |
| 90685 | 0% | 96 | $0.00 | |
| 90648 | 0% | 16 | $0.00 | |
| 98960 | 0% | 12 | $0.00 | |
| 90710 | 0% | 12 | $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 officialROBBINS, SANDRA (PRESIDENT)