Physician
Village Pediatrics of Chapel Hill, PA
Village Pediatrics of Chapel Hill, PA was paid $561K by Medicaid between Jan 2018 and Oct 2024, across 40 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 30% of everything it billed.
33Billing provider infoVILLAGE PEDIATRICS OF CHAPEL HILL, PA
CHAPEL HILL, NC 27516
CHAPEL HILL, NC 27516
33aNPI1578650735assigned 10/09/2006
33bProvider typePediatrics Physician
28Total paid$561K
24GClaims43,984
24DCodes billed40
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#250 of 433
Median peer was paid$942K
This provider vs. median0.6×
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 | 340 | $9K | |
| 2019 | 512 | $14K | |
| 2020 | 550 | $16K | |
| 2021 | 5,283 | $72K | |
| 2022 | 11,977 | $142K | |
| 2023 | 15,810 | $220K | |
| 2024incomplete | 9,512 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 30% | 31,661 | 16,656 | $169K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 2,776 | 2,030 | $167K |
| 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 | 7.8% | 648 | 437 | $44K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 5.2% | 270 | 225 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 263 | 229 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 1,213 | 997 | $21K |
| 87631 | 2.5% | 218 | 154 | $14K | |
| 97802 | 2.2% | 912 | 785 | $12K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.0% | 405 | 317 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 279 | 226 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 89 | 78 | $9K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.5% | 564 | 431 | $8K |
28 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.4% | 63 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 91 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 626 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 33 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 71 | $3K |
| 92552 | <1% | 416 | $2K | |
| 0002A | <1% | 25 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $1K |
| 99401 | <1% | 56 | $1K | |
| 96127 | <1% | 283 | $1K | |
| 0072A | <1% | 22 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 38 | $1K |
| 0071A | <1% | 28 | $1K | |
| 0001A | <1% | 14 | $910.00 | |
| 92551 | <1% | 101 | $519.73 | |
| 99173 | <1% | 566 | $429.23 | |
| 90686 | <1% | 275 | $318.62 | |
| 90480 | <1% | 16 | $125.00 | |
| 85018 | <1% | 15 | $32.12 | |
| 36416 | <1% | 55 | $6.32 | |
| 91300 | 0% | 54 | $0.00 | |
| 90670 | 0% | 31 | $0.00 | |
| 90633 | 0% | 16 | $0.00 | |
| 3008F | 0% | 774 | $0.00 | |
| 99000 | 0% | 764 | $0.00 | |
| 91307 | 0% | 66 | $0.00 | |
| 90674 | 0% | 140 | $0.00 | |
| 90647 | 0% | 15 | $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 officialGUSH, KIM (PRESIDENT)