Physician
Carolina Pediatric Center, PLLC
Carolina Pediatric Center, PLLC was paid $1.72M by Medicaid between Jul 2021 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoCAROLINA PEDIATRIC CENTER, PLLC
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1538501903assigned 07/25/2013
33bProvider typePediatrics Physician
28Total paid$1.72M
24GClaims146,412
24DCodes billed51
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#172 of 433
Median peer was paid$942K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2021 | 30,420 | $208K | |
| 2022 | 50,574 | $638K | |
| 2023 | 30,695 | $513K | |
| 2024incomplete | 34,723 | $357K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 13,132 | 4,577 | $511K |
| 99199 | Unlisted special service, procedure or report | 19% | 57,143 | 36,896 | $328K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 10,900 | 3,517 | $242K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 6.8% | 2,406 | 940 | $117K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 2,653 | 1,062 | $116K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 3,328 | 1,199 | $114K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 2,137 | 671 | $62K |
| 99401 | 2.3% | 4,742 | 1,296 | $40K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 5,433 | 1,913 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 1,174 | 407 | $35K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 2,990 | 1,042 | $31K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,289 | 461 | $16K |
39 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,665 | $13K |
| 96160 | <1% | 5,723 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,472 | $7K |
| 92551 | <1% | 6,148 | $7K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,294 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 181 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 710 | $4K |
| 81003 | <1% | 3,520 | $3K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 61 | $3K |
| 99173 | <1% | 6,512 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $1K |
| 0072A | <1% | 127 | $1K | |
| 96127 | <1% | 303 | $1K | |
| 85018 | <1% | 1,426 | $1K | |
| 96161 | <1% | 1,168 | $1K | |
| 0071A | <1% | 136 | $1K | |
| 90474 | <1% | 145 | $965.63 | |
| 90651 | <1% | 464 | $552.26 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $267.18 |
| 90619 | <1% | 84 | $152.25 | |
| 82465 | <1% | 70 | $64.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $5.40 |
| 3008F | 0% | 759 | $0.00 | |
| 99000 | 0% | 431 | $0.00 | |
| 90686 | 0% | 1,656 | $0.00 | |
| 91307 | 0% | 309 | $0.00 | |
| 90688 | 0% | 125 | $0.00 | |
| 94760 | 0% | 41 | $0.00 | |
| 90680 | 0% | 193 | $0.00 | |
| 90656 | 0% | 36 | $0.00 | |
| 90744 | 0% | 49 | $0.00 | |
| 81000 | 0% | 14 | $0.00 | |
| 90734 | 0% | 51 | $0.00 | |
| 90700 | 0% | 70 | $0.00 | |
| 90621 | 0% | 1,050 | $0.00 | |
| 90670 | 0% | 825 | $0.00 | |
| 90715 | 0% | 32 | $0.00 | |
| 90648 | 0% | 51 | $0.00 | |
| 90633 | 0% | 91 | $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 officialMIJUMBI, OLIVIA (MEDICAL DIRECTOR)