Physician
Carolina Children's Clinic, LLC
Carolina Children's Clinic, LLC was paid $292K by Medicaid between Oct 2022 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoCAROLINA CHILDREN'S CLINIC, LLC
BOILING SPRINGS, SC 29316
BOILING SPRINGS, SC 29316
33aNPI1649915216assigned 04/28/2022
33bProvider typeAdolescent Medicine (Family Medicine) Physician
28Total paid$292K
24GClaims6,466
24DCodes billed12
24AFirst – last monthOct 2022 – Dec 2024
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 | |
|---|---|---|---|
| 2022 | 569 | $26K | |
| 2023 | 3,710 | $164K | |
| 2024incomplete | 2,187 | $101K |
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 | 46% | 2,122 | 1,904 | $133K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 28% | 945 | 909 | $81K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.5% | 614 | 570 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.9% | 348 | 336 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 398 | 369 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 722 | 665 | $6K |
| 92567 | 1.1% | 418 | 388 | $3K | |
| 87400 | 1.0% | 441 | 396 | $3K | |
| 99051 | <1% | 293 | 264 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 89 | 87 | $718.20 |
| 87807 | <1% | 50 | 47 | $317.38 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | 26 | $268.58 |
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 officialMOORE, DAVID 'CARSON' (OWNER/AUTHORIZED OFFICIAL)