Clinic
Hanover Pediatrics
Hanover Pediatrics was paid $578K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoHANOVER PEDIATRICS
WILMINGTON, NC 28403
WILMINGTON, NC 28403
33aNPI1669907929assigned 04/25/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$578K
24GClaims35,231
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#35 of 116
Median peer was paid$226K
This provider vs. median2.6×
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 | 1,517 | $76K | |
| 2019 | 1,798 | $103K | |
| 2020 | 1,783 | $80K | |
| 2021 | 5,180 | $91K | |
| 2022 | 9,580 | $86K | |
| 2023 | 11,087 | $90K | |
| 2024incomplete | 4,286 | $52K |
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 | 33% | 3,418 | 2,245 | $192K |
| 99375 | 20% | 1,440 | 1,332 | $118K | |
| 99199 | Unlisted special service, procedure or report | 17% | 21,383 | 12,608 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,692 | 1,706 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 221 | 162 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 1,143 | 785 | $13K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.8% | 295 | 122 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 193 | 147 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 1,520 | 1,082 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 254 | 189 | $5K |
| 87631 | <1% | 66 | 56 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 91 | 55 | $4K |
16 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 67 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 43 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 91 | $821.30 |
| 96127 | <1% | 390 | $702.08 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 22 | $615.72 |
| 92552 | <1% | 183 | $602.05 | |
| 99173 | <1% | 657 | $349.56 | |
| 90686 | <1% | 361 | $217.25 | |
| 90474 | <1% | 12 | $216.80 | |
| 90680 | <1% | 14 | $83.81 | |
| 92551 | <1% | 97 | $69.07 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 17 | $42.94 |
| 99072 | 0% | 456 | $0.00 | |
| 90670 | 0% | 40 | $0.00 | |
| 99174 | 0% | 48 | $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 officialPOLLOCK, HOKE (MANAGING MEMBER)