Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILDREN'S HEALTH OF CAROLINA, PA

NPI: 1598729014 · LUMBERTON, NC 28358 · Pediatrics Physician · NPI assigned 04/13/2006

$89.47M
Total Medicaid Paid
7,257,110
Total Claims
6,054,505
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEALY, LAURA (BUSINESS MANAGER)
Parent OrganizationCHILDREN'S HEALTH OF CAROLINA, PA
NPI Enumeration Date04/13/2006

Related Entities

Other providers sharing the same authorized official: SEALY, LAURA

ProviderCityStateTotal Paid
CHILDREN'S HEALTH OF CAROLINA, PA PEMBROKE NC $18.18M
CHILDREN'S HEALTH OF CAROLINA, PA FAYETTEVILLE NC $7.66M
CHILDREN'S HEALTH OF CAROLINA, PA RAEFORD NC $4.98M
CHILDREN'S HEALTH OF CAROLINA, PA FAIRMONT NC $103K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 148,385 $3.78M
2019 144,339 $4.45M
2020 134,592 $4.14M
2021 1,157,562 $14.83M
2022 2,450,580 $26.05M
2023 2,396,833 $25.30M
2024 824,819 $10.92M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 5,831,723 4,861,345 $45.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 248,377 205,101 $14.47M
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 93,766 74,619 $4.39M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45,039 37,706 $3.88M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 34,425 30,150 $3.08M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 33,421 27,776 $2.80M
87400 91,610 70,077 $2.19M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 23,763 20,635 $2.09M
90472 Immunization administration, each additional vaccine (list separately) 53,359 46,278 $1.96M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17,489 14,897 $1.67M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 87,793 75,910 $1.65M
99051 52,022 43,992 $1.24M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 76,824 63,567 $979K
96110 Developmental screening, with scoring and documentation, per standardized instrument 38,582 33,495 $377K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,022 8,613 $371K
D0145 Oral evaluation for a patient under three years of age 10,780 9,440 $361K
87807 17,379 13,802 $222K
99222 Initial hospital care, per day, moderate complexity 1,646 1,473 $174K
96127 42,487 36,282 $165K
D1206 Topical application of fluoride varnish 10,975 9,586 $161K
99232 Subsequent hospital care, per day, moderate complexity 1,254 1,127 $151K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,863 1,383 $150K
90474 7,608 6,642 $145K
83655 8,031 6,994 $110K
99238 Hospital discharge day management, 30 minutes or less 1,695 1,518 $98K
90651 8,885 7,453 $90K
80061 Lipid panel 5,656 4,694 $84K
92551 57,033 48,854 $79K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,230 7,877 $78K
E0570 Nebulizer, with compressor 541 469 $71K
85018 60,021 51,552 $70K
96161 18,423 14,720 $62K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 1,319 1,210 $47K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 364 284 $41K
90734 6,458 5,402 $32K
99050 1,103 1,069 $29K
88720 5,214 3,381 $26K
81025 2,900 2,249 $19K
81003 8,743 7,025 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,188 847 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 846 660 $15K
99383 143 108 $14K
A7006 Administration set, with small volume filtered pneumatic nebulizer 1,636 1,352 $14K
90620 2,484 2,002 $12K
90686 27,697 23,577 $12K
0071A 195 162 $11K
0072A 176 134 $10K
17110 124 89 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 302 301 $8K
83036 Hemoglobin; glycosylated (A1C) 824 690 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 100 97 $6K
99242 85 72 $6K
94664 578 530 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 37 26 $4K
99173 56,795 48,669 $4K
90677 3,388 3,073 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 361 284 $3K
99382 32 27 $3K
90715 1,761 1,526 $3K
99384 15 13 $2K
99070 232 195 $2K
99401 55 42 $2K
99219 14 12 $2K
94760 24,188 19,914 $1K
99217 18 15 $1K
90633 11,047 9,615 $1K
36415 Collection of venous blood by venipuncture 367 266 $778.78
94010 31 28 $716.24
69210 21 12 $664.52
90656 1,209 1,185 $619.39
90723 18,236 16,067 $576.75
87210 190 124 $540.30
G9919 Screening performed and positive and provision of recommendations 28 26 $406.90
90688 943 916 $327.00
90716 2,594 2,190 $288.94
96381 19 17 $222.00
86308 35 35 $217.68
96380 21 17 $171.86
90647 18,093 15,830 $119.32
90681 7,658 6,687 $94.75
90707 2,491 2,106 $82.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 117 105 $59.71
82962 18 12 $34.68
99000 13,088 10,129 $0.00
91307 452 332 $0.00
36416 383 355 $0.00
90696 1,699 1,461 $0.00
90381 34 30 $0.00
90670 21,573 18,911 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 289 165 $0.00
90700 1,924 1,658 $0.00
90685 1,728 1,681 $0.00
90710 1,725 1,481 $0.00