Medicaid Provider Spending

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

UNIVERSITY PEDIATRICS

NPI: 1609102649 · MINT HILL, NC 28227 · Pediatrics Physician · NPI assigned 10/27/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more

$191K
Total Medicaid Paid
19,643
Total Claims
14,359
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationUNIVERSITY PEDIATRICS
NPI Enumeration Date10/27/2009

Related Entities

Other providers sharing the same authorized official: LAYMON, THOMAS

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $11.74M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $2.17M
SOUTH LAKE PEDIATRICS CHARLOTTE NC $1.93M
LINCOLN FAMILY PRACTICE LINCOLNTON NC $1.31M
COX ROAD URGENT CARE GASTONIA NC $1.14M
CAROLINAS PHYSICIANS NETWORK INC LINCOLNTON NC $1.11M
CAROLINAS PHYSICIANS NETWORK INC CHINA GROVE NC $857K
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $225K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $198K
CAROLINAS-ANSON HEALTHCARE INC. WADESBORO NC $124K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $124K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $68K
CAROLINAS PHYSICIANS NETWORK, INC. FOREST CITY NC $27K
CAROLINAS PHYSICIANS NETWORK, INC. BESSEMER CITY NC $19K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY LINCOLNTON NC $13K
CAROLINAS PHYSICIANS NETWORK INC FOREST CITY NC $11K
CAROLINAS PHYSICIANS NETWORK INC INDIAN TRAIL NC $10K
CAROLINAS PHYSICIANS NETWORK INC RUTHERFORDTON NC $9K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,183 $70K
2019 711 $31K
2021 757 $11K
2022 6,438 $34K
2023 8,923 $40K
2024 631 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 16,749 11,688 $89K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 666 616 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 382 353 $30K
90460 Immunization administration through 18 years of age via any route, first or only component 375 336 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 202 189 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 28 25 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 100 96 $2K
90472 Immunization administration, each additional vaccine (list separately) 32 30 $961.15
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 12 $857.12
96127 142 133 $553.56
96110 Developmental screening, with scoring and documentation, per standardized instrument 190 174 $348.09
90686 142 134 $66.20
96161 14 12 $44.88
92551 227 213 $16.00
99173 238 226 $15.00
90670 79 70 $0.00
90723 33 27 $0.00
90680 31 25 $0.00