Physician
Holly Springs Pediatrics
Holly Springs Pediatrics was paid $2.53M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoHOLLY SPRINGS PEDIATRICS
HOLLY SPRINGS, NC 27540
HOLLY SPRINGS, NC 27540
33aNPI1558514752assigned 10/31/2008
33bProvider typePediatrics Physician
28Total paid$2.53M
24GClaims143,549
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#137 of 433
Median peer was paid$942K
This provider vs. median2.7×
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 | 7,568 | $235K | |
| 2019 | 7,595 | $267K | |
| 2020 | 5,331 | $182K | |
| 2021 | 15,683 | $315K | |
| 2022 | 31,563 | $493K | |
| 2023 | 34,507 | $492K | |
| 2024incomplete | 41,302 | $544K |
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 | 26% | 7,360 | 6,002 | $645K |
| 99199 | Unlisted special service, procedure or report | 21% | 87,269 | 52,472 | $518K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,336 | 3,551 | $279K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 2,244 | 1,972 | $204K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 2,169 | 1,808 | $191K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 1,673 | 1,526 | $151K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 5,722 | 4,974 | $107K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 1,077 | 951 | $103K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 2,822 | 2,490 | $70K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 4,104 | 3,654 | $41K |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 1,165 | 1,021 | $39K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.4% | 1,258 | 1,114 | $34K |
38 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 449 | $27K |
| 99051 | <1% | 1,131 | $24K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,166 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 986 | $12K |
| 90474 | <1% | 413 | $8K | |
| 96127 | <1% | 1,800 | $7K | |
| 99381 | <1% | 58 | $6K | |
| 92551 | <1% | 4,355 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 423 | $5K |
| 90651 | <1% | 116 | $3K | |
| 87634 | <1% | 110 | $3K | |
| 96161 | <1% | 863 | $3K | |
| 99173 | <1% | 4,156 | $3K | |
| 90686 | <1% | 1,433 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,171 | $3K |
| 90698 | <1% | 190 | $2K | |
| 99383 | <1% | 21 | $2K | |
| 92567 | <1% | 169 | $2K | |
| 99382 | <1% | 16 | $2K | |
| 90619 | <1% | 45 | $1K | |
| 0072A | <1% | 18 | $1K | |
| 90670 | <1% | 516 | $1K | |
| 85018 | <1% | 372 | $870.76 | |
| 90734 | <1% | 44 | $845.45 | |
| 90697 | <1% | 263 | $571.55 | |
| 87807 | <1% | 45 | $536.94 | |
| 90674 | <1% | 317 | $433.23 | |
| 90473 | <1% | 18 | $267.50 | |
| 81002 | <1% | 75 | $189.00 | |
| 90661 | <1% | 164 | $98.27 | |
| 90671 | <1% | 382 | $0.87 | |
| 90633 | 0% | 139 | $0.00 | |
| 99072 | 0% | 14 | $0.00 | |
| 90680 | 0% | 382 | $0.00 | |
| 99174 | 0% | 408 | $0.00 | |
| 91307 | 0% | 48 | $0.00 | |
| 90744 | 0% | 51 | $0.00 | |
| 90660 | 0% | 23 | $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 officialSWARTZ-SMITH, STACEY (PRACTICE ADMINISTRATOR)