Chapel Hill Pediatrics P.A.
Chapel Hill Pediatrics P.A. was paid $4.90M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCHAPEL HILL PEDIATRICS P.A.
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
33aNPI1548221856assigned 03/28/2006
33bProvider typeSpecialist
28Total paid$4.90M
24GClaims350,101
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#11 of 172
Median peer was paid$83K
This provider vs. median59×
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 | 13,607 | $376K | |
| 2019 | 13,922 | $480K | |
| 2020 | 9,472 | $321K | |
| 2021 | 50,137 | $909K | |
| 2022 | 87,110 | $1.08M | |
| 2023 | 83,106 | $868K | |
| 2024incomplete | 92,747 | $864K |
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 | 33% | 26,304 | 22,928 | $1.63M |
| 99199 | Unlisted special service, procedure or report | 27% | 242,294 | 118,626 | $1.30M |
| 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 | 14% | 7,770 | 6,613 | $698K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.8% | 15,616 | 13,356 | $286K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 5.0% | 14,001 | 10,865 | $245K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 3,086 | 2,467 | $142K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 3,104 | 2,763 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 953 | 854 | $90K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 948 | 869 | $86K |
| 99051 | 1.3% | 2,688 | 2,368 | $64K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,824 | 4,404 | $42K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 579 | 504 | $33K |
47 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 297 | $25K |
| 0072A | <1% | 354 | $18K | |
| 0071A | <1% | 441 | $17K | |
| 92551 | <1% | 7,922 | $14K | |
| 0001A | <1% | 264 | $13K | |
| 0002A | <1% | 263 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 119 | $12K |
| 90480 | <1% | 278 | $8K | |
| 90686 | <1% | 6,416 | $8K | |
| 0004A | <1% | 76 | $4K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 146 | $4K |
| 99442 | <1% | 67 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 249 | $3K |
| 96127 | <1% | 817 | $3K | |
| 87631 | <1% | 44 | $3K | |
| 90656 | <1% | 359 | $3K | |
| 0154A | <1% | 81 | $2K | |
| 91320 | <1% | 59 | $2K | |
| 0124A | <1% | 42 | $2K | |
| 99173 | <1% | 3,113 | $2K | |
| 0074A | <1% | 70 | $2K | |
| 0111A | <1% | 41 | $2K | |
| 91322 | <1% | 26 | $2K | |
| 0112A | <1% | 43 | $1K | |
| 91321 | <1% | 41 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 421 | $967.28 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 25 | $832.18 |
| 87081 | <1% | 99 | $682.56 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $657.86 |
| 91319 | <1% | 47 | $634.48 | |
| 99441 | <1% | 15 | $498.02 | |
| 91300 | <1% | 724 | $440.08 | |
| 99050 | <1% | 15 | $344.24 | |
| 94760 | <1% | 2,222 | $291.32 | |
| D1206 | Topical application of fluoride varnish | <1% | 13 | $201.36 |
| 91307 | <1% | 977 | $160.30 | |
| 99177 | <1% | 237 | $28.71 | |
| 91315 | <1% | 81 | $21.84 | |
| 99000 | <1% | 1,006 | $3.96 | |
| 90716 | 0% | 12 | $0.00 | |
| 90647 | 0% | 38 | $0.00 | |
| 90723 | 0% | 14 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90670 | 0% | 82 | $0.00 | |
| 91311 | 0% | 192 | $0.00 | |
| 90658 | 0% | 16 | $0.00 | |
| 91312 | 0% | 42 | $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 officialSHEPPARD, MARY (OFFICE MANAGER)