Physician
Kevin J Foley, MD PA
Kevin J Foley, MD PA was paid $2.65M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoKEVIN J FOLEY, MD PA
FRANKLIN, NC 28734
FRANKLIN, NC 28734
33aNPI1649545310assigned 03/14/2012
33bProvider typePediatrics Physician
28Total paid$2.65M
24GClaims132,660
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#134 of 433
Median peer was paid$942K
This provider vs. median2.8×
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 | 7,478 | $228K | |
| 2019 | 6,540 | $271K | |
| 2020 | 5,663 | $224K | |
| 2021 | 16,381 | $401K | |
| 2022 | 30,601 | $559K | |
| 2023 | 32,054 | $518K | |
| 2024incomplete | 33,943 | $447K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 15,207 | 10,863 | $943K |
| 99199 | Unlisted special service, procedure or report | 13% | 71,899 | 31,554 | $344K |
| 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 | 12% | 3,403 | 2,701 | $311K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 2,013 | 1,640 | $180K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 1,854 | 1,551 | $171K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 1,869 | 1,460 | $155K |
| 99401 | 4.7% | 3,937 | 2,694 | $125K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.2% | 2,859 | 2,274 | $85K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.2% | 4,744 | 3,667 | $83K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 593 | 505 | $59K |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 1,200 | 982 | $40K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 735 | 552 | $25K |
36 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,895 | $25K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,461 | $23K |
| D1206 | Topical application of fluoride varnish | <1% | 1,199 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 372 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 274 | $10K |
| 96127 | <1% | 1,258 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 679 | $9K |
| 90474 | <1% | 427 | $7K | |
| 96161 | <1% | 958 | $3K | |
| 92551 | <1% | 3,921 | $3K | |
| 90651 | <1% | 106 | $2K | |
| 99173 | <1% | 3,916 | $1K | |
| 0071A | <1% | 31 | $1K | |
| 0072A | <1% | 20 | $975.99 | |
| 87807 | <1% | 86 | $832.25 | |
| 90686 | <1% | 857 | $711.10 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $347.13 |
| 90734 | <1% | 17 | $295.48 | |
| 85018 | <1% | 131 | $273.96 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 21 | $156.50 |
| 83655 | <1% | 66 | $43.36 | |
| 90633 | <1% | 199 | $33.52 | |
| 90713 | <1% | 16 | $32.15 | |
| 90680 | 0% | 488 | $0.00 | |
| 90698 | 0% | 693 | $0.00 | |
| 90677 | 0% | 234 | $0.00 | |
| 90744 | 0% | 219 | $0.00 | |
| 36416 | 0% | 94 | $0.00 | |
| 90656 | 0% | 86 | $0.00 | |
| 90381 | 0% | 15 | $0.00 | |
| 91307 | 0% | 72 | $0.00 | |
| 90619 | 0% | 37 | $0.00 | |
| 90700 | 0% | 153 | $0.00 | |
| 90670 | 0% | 1,125 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 90710 | 0% | 189 | $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 officialFOLEY, KEVIN (PEDIATRICIAN)
| Provider | Location | Paid |
|---|---|---|
| Kevin Michael Foley, MD, LLC | Loveland, CO | $58K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.