Physician
Carolina Pediatrics, PA
Carolina Pediatrics, PA was paid $5.20M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoCAROLINA PEDIATRICS, PA
AHOSKIE, NC 27910
AHOSKIE, NC 27910
33aNPI1649230921assigned 03/23/2006
33bProvider typePediatrics Physician
28Total paid$5.20M
24GClaims315,349
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#77 of 433
Median peer was paid$942K
This provider vs. median5.5×
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 | 19,084 | $640K | |
| 2019 | 19,552 | $682K | |
| 2020 | 15,172 | $550K | |
| 2021 | 35,305 | $742K | |
| 2022 | 74,544 | $941K | |
| 2023 | 79,118 | $897K | |
| 2024incomplete | 72,574 | $746K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 29,171 | 23,926 | $2.36M |
| 99199 | Unlisted special service, procedure or report | 18% | 192,445 | 90,537 | $950K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 2,930 | 2,782 | $240K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 2,605 | 2,466 | $217K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 2,349 | 2,107 | $185K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 2,092 | 1,812 | $178K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 4,856 | 4,201 | $161K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 12,014 | 5,407 | $154K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.4% | 3,763 | 3,458 | $126K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 6,461 | 5,885 | $124K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.2% | 956 | 813 | $116K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 1,265 | 1,145 | $70K |
39 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 1,885 | $65K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,311 | $39K |
| 99070 | <1% | 5,295 | $33K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,887 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,128 | $27K |
| 87807 | <1% | 1,465 | $19K | |
| 99406 | <1% | 1,873 | $18K | |
| 92551 | <1% | 7,483 | $16K | |
| 81002 | <1% | 4,946 | $10K | |
| 96127 | <1% | 2,442 | $9K | |
| 90651 | <1% | 665 | $8K | |
| 99173 | <1% | 8,051 | $7K | |
| 99051 | <1% | 319 | $7K | |
| 96161 | <1% | 1,792 | $6K | |
| 90734 | <1% | 562 | $4K | |
| 83655 | <1% | 456 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 238 | $3K |
| 87428 | <1% | 62 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $2K |
| 85018 | <1% | 884 | $2K | |
| 92567 | <1% | 184 | $1K | |
| 94664 | <1% | 111 | $1K | |
| 90474 | <1% | 50 | $1K | |
| 90686 | <1% | 1,631 | $824.66 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 52 | $592.39 |
| 90715 | <1% | 207 | $326.48 | |
| 92568 | <1% | 32 | $286.61 | |
| 90674 | <1% | 106 | $219.16 | |
| 90633 | <1% | 465 | $199.38 | |
| 90670 | 0% | 1,735 | $0.00 | |
| 90710 | 0% | 474 | $0.00 | |
| 90681 | 0% | 169 | $0.00 | |
| 90685 | 0% | 59 | $0.00 | |
| 90697 | 0% | 418 | $0.00 | |
| 90723 | 0% | 585 | $0.00 | |
| 90647 | 0% | 673 | $0.00 | |
| 90677 | 0% | 309 | $0.00 | |
| 90696 | 0% | 54 | $0.00 | |
| 90688 | 0% | 352 | $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 officialPIERCE, CHARLES (PEDIATRICIAN)
| Provider | Location | Paid |
|---|---|---|
| The Heritage of Richlands | Richlands, NC | $2.43M |
| The Heritage of Sugar Mountain | Newland, NC | $2.11M |
| The Heritage of Cedar Rock | Mocksville, NC | $421K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.