Physician
Concord Children's Clinic
Concord Children's Clinic was paid $6.00M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoCONCORD CHILDREN'S CLINIC
CONCORD, NC 28025
CONCORD, NC 28025
33aNPI1679589212assigned 08/01/2006
33bProvider typePediatrics Physician
28Total paid$6.00M
24GClaims347,304
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#66 of 433
Median peer was paid$942K
This provider vs. median6.4×
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 | 22,237 | $608K | |
| 2019 | 20,924 | $644K | |
| 2020 | 15,941 | $478K | |
| 2021 | 43,806 | $838K | |
| 2022 | 79,622 | $1.14M | |
| 2023 | 84,613 | $1.21M | |
| 2024incomplete | 80,161 | $1.08M |
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 | 26% | 26,422 | 22,734 | $1.57M |
| 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 | 23% | 15,353 | 13,187 | $1.36M |
| 99199 | Unlisted special service, procedure or report | 17% | 172,684 | 103,722 | $1.05M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.6% | 9,958 | 8,546 | $396K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 3,122 | 2,793 | $258K |
| 99401 | 3.1% | 5,914 | 5,410 | $188K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 15,762 | 13,721 | $175K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 1,856 | 1,657 | $152K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 1,856 | 1,493 | $140K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.1% | 2,037 | 1,727 | $123K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,350 | 1,168 | $112K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 7,194 | 6,379 | $96K |
58 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 1,884 | $90K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,509 | $47K |
| 92552 | <1% | 8,899 | $44K | |
| 81002 | <1% | 16,215 | $37K | |
| 96127 | <1% | 7,818 | $32K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 698 | $22K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 675 | $18K |
| 99050 | <1% | 442 | $11K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 506 | $10K |
| D1206 | Topical application of fluoride varnish | <1% | 697 | $10K |
| 94760 | <1% | 11,568 | $6K | |
| 99173 | <1% | 7,693 | $5K | |
| 99460 | <1% | 73 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 75 | $4K |
| 90686 | <1% | 4,027 | $4K | |
| 90651 | <1% | 164 | $4K | |
| 0001A | <1% | 63 | $4K | |
| 80061 | Lipid panel | <1% | 208 | $3K |
| 0072A | <1% | 58 | $3K | |
| 85018 | <1% | 1,734 | $3K | |
| 83655 | <1% | 205 | $3K | |
| 90734 | <1% | 152 | $2K | |
| 94200 | <1% | 114 | $2K | |
| 0002A | <1% | 33 | $2K | |
| 0071A | <1% | 38 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 164 | $2K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 51 | $2K |
| 96161 | <1% | 320 | $1K | |
| 90670 | <1% | 658 | $870.64 | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 13 | $400.01 |
| 2015F | <1% | 254 | $280.00 | |
| 90473 | <1% | 15 | $268.08 | |
| 2014F | <1% | 185 | $240.00 | |
| 90710 | <1% | 185 | $205.39 | |
| 94664 | <1% | 17 | $189.21 | |
| 36416 | <1% | 3,777 | $154.84 | |
| 90688 | <1% | 16 | $97.22 | |
| 90633 | <1% | 202 | $96.66 | |
| 90715 | <1% | 16 | $43.25 | |
| 90656 | <1% | 192 | $41.02 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 15 | $0.67 |
| 99000 | 0% | 8,465 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 797 | $0.00 |
| 90680 | 0% | 246 | $0.00 | |
| 90698 | 0% | 269 | $0.00 | |
| 1005F | 0% | 397 | $0.00 | |
| 90647 | 0% | 82 | $0.00 | |
| 90660 | 0% | 21 | $0.00 | |
| 91307 | 0% | 120 | $0.00 | |
| 97802 | 0% | 71 | $0.00 | |
| 90619 | 0% | 14 | $0.00 | |
| 90744 | 0% | 132 | $0.00 | |
| 90677 | 0% | 16 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 90700 | 0% | 191 | $0.00 | |
| Q4093 | 0% | 116 | $0.00 | |
| 91300 | 0% | 156 | $0.00 | |
| 90713 | 0% | 62 | $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 officialSETHI, ANJU (OFFICE MANAGER)