Physician
South Lake Pediatrics
South Lake Pediatrics was paid $1.93M by Medicaid between Jan 2018 and Dec 2023, across 37 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 27% of everything it billed.
33Billing provider infoSOUTH LAKE PEDIATRICS
CHARLOTTE, NC 28216
CHARLOTTE, NC 28216
33aNPI1619203791assigned 10/26/2009
33bProvider typePediatrics Physician
28Total paid$1.93M
24GClaims127,269
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#164 of 433
Median peer was paid$942K
This provider vs. median2.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more
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 | 14,684 | $430K | |
| 2019 | 12,986 | $497K | |
| 2020 | 12,022 | $449K | |
| 2021 | 37,926 | $325K | |
| 2022 | 23,728 | $112K | |
| 2023 | 25,923 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 27% | 86,878 | 67,670 | $529K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 6,258 | 5,691 | $362K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 2,917 | 2,403 | $229K |
| 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 | 11% | 2,694 | 2,387 | $215K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,554 | 2,270 | $213K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.5% | 3,531 | 3,191 | $125K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 5,514 | 4,935 | $101K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 786 | 731 | $70K |
| 90474 | <1% | 786 | 704 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,831 | 1,693 | $13K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 205 | 192 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 116 | 108 | $12K |
25 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 874 | $11K |
| 96127 | <1% | 1,661 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 137 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 63 | $2K |
| 83655 | <1% | 122 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 458 | $2K |
| 90686 | <1% | 1,763 | $1K | |
| 90651 | <1% | 15 | $737.10 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 57 | $442.92 |
| 96161 | <1% | 138 | $407.08 | |
| 90734 | <1% | 15 | $259.98 | |
| 90633 | <1% | 486 | $162.38 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $102.62 |
| 99173 | <1% | 683 | $65.00 | |
| 92551 | <1% | 439 | $48.00 | |
| 85018 | <1% | 148 | $35.34 | |
| 90680 | 0% | 997 | $0.00 | |
| 90716 | 0% | 344 | $0.00 | |
| 90723 | 0% | 1,168 | $0.00 | |
| 90647 | 0% | 1,209 | $0.00 | |
| 90696 | 0% | 15 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 17 | $0.00 |
| 90670 | 0% | 2,014 | $0.00 | |
| 90700 | 0% | 30 | $0.00 | |
| 90707 | 0% | 334 | $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 officialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent organizationSOUTH LAKE PEDIATRICS
| Provider | Location | Paid |
|---|---|---|
| Carolinas Medical Center | Charlotte, NC | $17.00M |
| Carolinas Medical Center | Charlotte, NC | $11.74M |
| Carolinas Medical Center | Charlotte, NC | $2.17M |
| 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 |
| University Pediatrics | Mint Hill, NC | $191K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.