Physician
Kids Care Pediatrics PA
Kids Care Pediatrics PA was paid $4.71M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 23% of everything it billed.
33Billing provider infoKIDS CARE PEDIATRICS PA
SMITHFIELD, NC 27577
SMITHFIELD, NC 27577
33aNPI1487612628assigned 05/03/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$4.71M
24GClaims288,387
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in North Carolina
Rank by total paid#9 of 20
Median peer was paid$4.16M
This provider vs. median1.1×
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 | 18,080 | $515K | |
| 2019 | 16,687 | $562K | |
| 2020 | 12,175 | $412K | |
| 2021 | 34,499 | $587K | |
| 2022 | 66,699 | $844K | |
| 2023 | 67,476 | $870K | |
| 2024incomplete | 72,771 | $918K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 23% | 179,971 | 107,161 | $1.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 15,290 | 13,382 | $894K |
| 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 | 16% | 8,907 | 7,703 | $775K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10.0% | 10,606 | 9,532 | $469K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 4,361 | 3,985 | $386K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 3,431 | 2,991 | $277K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 2,999 | 2,688 | $263K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 1,542 | 1,386 | $147K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 7,656 | 6,948 | $73K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 5,228 | 2,330 | $67K |
| 87428 | 1.2% | 993 | 950 | $55K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 3,942 | 3,535 | $50K |
38 more codes
| 96127 | <1% | 8,411 | $33K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,452 | $26K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 556 | $21K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 110 | $15K |
| 80061 | Lipid panel | <1% | 901 | $13K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 382 | $13K |
| 92551 | <1% | 8,925 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 250 | $9K |
| 96161 | <1% | 2,612 | $8K | |
| 87807 | <1% | 548 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 345 | $6K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 25 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 383 | $6K |
| 82947 | <1% | 1,018 | $4K | |
| 99173 | <1% | 5,865 | $4K | |
| 90686 | <1% | 4,084 | $3K | |
| 99381 | <1% | 26 | $2K | |
| 90734 | <1% | 91 | $2K | |
| 90670 | <1% | 1,541 | $703.97 | |
| 90651 | <1% | 56 | $668.55 | |
| 85018 | <1% | 276 | $538.81 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 56 | $417.38 |
| 90715 | <1% | 87 | $286.14 | |
| 92552 | <1% | 21 | $204.65 | |
| 90680 | <1% | 651 | $92.44 | |
| 96380 | <1% | 13 | $85.70 | |
| 90671 | 0% | 169 | $0.00 | |
| 90633 | 0% | 200 | $0.00 | |
| 90685 | 0% | 145 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 99172 | 0% | 3,062 | $0.00 | |
| 90677 | 0% | 185 | $0.00 | |
| 99174 | 0% | 75 | $0.00 | |
| 90698 | 0% | 412 | $0.00 | |
| 90744 | 0% | 96 | $0.00 | |
| 90619 | 0% | 63 | $0.00 | |
| 90656 | 0% | 281 | $0.00 | |
| 90697 | 0% | 75 | $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 officialTETREAULT, DEBRA (PRESIDENT)