Kids First Pediatrics of Raleigh, PLLC

Kids First Pediatrics of Raleigh, PLLC was paid $11.91M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoKIDS FIRST PEDIATRICS OF RALEIGH, PLLC
RALEIGH, NC 27609

33aNPI1700057486assigned 03/20/2008

33bProvider typePediatrics Physician

28Total paid$11.91M

24GClaims683,518

24DCodes billed77

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#23 of 433

Median peer was paid$942K

This provider vs. median13×

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	42,675	$1.14M
2019	37,573	$1.25M
2020	34,712	$1.01M
2021	80,932	$1.51M
2022	175,256	$2.46M
2023	172,950	$2.34M
2024incomplete	139,420	$2.20M

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	20%	42,338	35,966	$2.40M
99199	Unlisted special service, procedure or report	16%	334,644	209,801	$1.93M
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	16%	22,015	18,804	$1.85M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.1%	11,383	10,264	$970K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.7%	11,273	9,706	$913K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.4%	7,453	6,695	$638K
90460	Immunization administration through 18 years of age via any route, first or only component	4.9%	12,981	11,631	$580K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.4%	21,916	19,561	$406K
90472	Immunization administration, each additional vaccine (list separately)	3.1%	10,631	9,522	$373K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.0%	3,900	3,418	$358K
D0145	Oral evaluation for a patient under three years of age	2.6%	8,956	8,157	$305K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.5%	19,469	17,364	$181K

65 more codes

D1206	Topical application of fluoride varnish	1.1%	8,836	$133K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	3,582	$109K
96160		<1%	27,884	$94K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	7,070	$90K
96127		<1%	17,963	$74K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	5,882	$73K
99051		<1%	2,481	$60K
99070		<1%	6,743	$52K
99215	Doctor's office visit, returning patient (complex)	<1%	480	$48K
92587		<1%	7,194	$40K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	2,328	$39K
90651		<1%	1,833	$29K
96161		<1%	6,399	$22K
99381		<1%	252	$19K
0072A		<1%	231	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	312	$11K
83655		<1%	639	$10K
0071A		<1%	168	$9K
90686		<1%	12,818	$8K
99401		<1%	302	$7K
90474		<1%	340	$6K
90734		<1%	614	$5K
85018		<1%	3,334	$5K
36415	Collection of venous blood by venipuncture	<1%	2,210	$5K
99383		<1%	62	$5K
99173		<1%	21,687	$5K
0081A		<1%	56	$3K
90473		<1%	148	$3K
0082A		<1%	48	$3K
99382		<1%	33	$3K
87807		<1%	219	$3K
90620		<1%	171	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	232	$2K
90480		<1%	64	$2K
81003		<1%	562	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	137	$1K
90715		<1%	279	$1K
99203	Doctor's office visit, new patient (routine)	<1%	18	$976.91
92558		<1%	6,599	$960.88
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	37	$884.00
90672		<1%	261	$730.44
83718		<1%	61	$606.00
90380		<1%	30	$509.85
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%	19	$461.55
69210		<1%	12	$378.96
82465		<1%	60	$316.24
90633		<1%	2,049	$215.23
96380		<1%	15	$205.68
90656		<1%	1,548	$129.61
90723		<1%	5,091	$97.04
90647		<1%	5,069	$20.00
90670		0%	6,266	$0.00
90681		0%	2,006	$0.00
90671		0%	1,507	$0.00
90710		0%	174	$0.00
90685		0%	556	$0.00
90707		0%	286	$0.00
90700		0%	165	$0.00
91308		0%	159	$0.00
91321		0%	12	$0.00
91300		0%	24	$0.00
90696		0%	186	$0.00
90716		0%	152	$0.00
91307		0%	581	$0.00
91305		0%	23	$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 officialBULLOCK, SELAM (CEO)