Medicaid Provider Spending

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

SOUTH LAKE PEDIATRICS

NPI: 1619203791 · CHARLOTTE, NC 28216 · Pediatrics Physician · NPI assigned 10/26/2009

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

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

$1.93M
Total Medicaid Paid
127,269
Total Claims
104,019
Beneficiaries
37
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationSOUTH LAKE PEDIATRICS
NPI Enumeration Date10/26/2009

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 86,878 67,670 $529K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,258 5,691 $362K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,917 2,403 $229K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,694 2,387 $215K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,554 2,270 $213K
90472 Immunization administration, each additional vaccine (list separately) 3,531 3,191 $125K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,514 4,935 $101K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 786 731 $70K
90474 786 704 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,831 1,693 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 205 192 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 116 108 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 874 813 $11K
96127 1,661 1,525 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 137 127 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 63 54 $2K
83655 122 104 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 458 380 $2K
90686 1,763 1,587 $1K
90651 15 15 $737.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 57 48 $442.92
96161 138 128 $407.08
90734 15 14 $259.98
90633 486 461 $162.38
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $102.62
99173 683 666 $65.00
92551 439 429 $48.00
85018 148 142 $35.34
90680 997 900 $0.00
90716 344 329 $0.00
90723 1,168 1,060 $0.00
90647 1,209 1,086 $0.00
90696 15 14 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 17 12 $0.00
90670 2,014 1,799 $0.00
90700 30 25 $0.00
90707 334 314 $0.00