Physician
Starlight Pediatrics, PLLC
Starlight Pediatrics, PLLC was paid $1.72M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoSTARLIGHT PEDIATRICS, PLLC
HOLLY SPRINGS, NC 27540
HOLLY SPRINGS, NC 27540
33aNPI1700205515assigned 04/09/2014
33bProvider typePediatrics Physician
28Total paid$1.72M
24GClaims87,722
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#171 of 433
Median peer was paid$942K
This provider vs. median1.8×
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 | 4,806 | $132K | |
| 2019 | 4,574 | $149K | |
| 2020 | 4,987 | $132K | |
| 2021 | 12,372 | $248K | |
| 2022 | 20,144 | $393K | |
| 2023 | 21,613 | $391K | |
| 2024incomplete | 19,226 | $277K |
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 | 25% | 6,880 | 5,351 | $435K |
| 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 | 17% | 3,167 | 2,538 | $298K |
| 99199 | Unlisted special service, procedure or report | 14% | 43,119 | 25,520 | $248K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 1,557 | 1,326 | $143K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 976 | 813 | $94K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.8% | 4,505 | 3,716 | $83K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 908 | 699 | $83K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 2,401 | 1,968 | $74K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.8% | 521 | 414 | $66K |
| D0145 | Oral evaluation for a patient under three years of age | 2.8% | 1,504 | 1,279 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 285 | 213 | $30K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 3,189 | 2,675 | $24K |
37 more codes
| D1206 | Topical application of fluoride varnish | 1.2% | 1,513 | $21K |
| 99408 | <1% | 576 | $11K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 52 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 280 | $7K |
| 92551 | <1% | 3,098 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 82 | $4K |
| 96127 | <1% | 1,042 | $4K | |
| 96160 | <1% | 1,124 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 227 | $3K |
| 0072A | <1% | 47 | $3K | |
| 0071A | <1% | 45 | $2K | |
| 96161 | <1% | 648 | $2K | |
| 0002A | <1% | 34 | $2K | |
| 0001A | <1% | 62 | $2K | |
| 90686 | <1% | 1,613 | $2K | |
| 99173 | <1% | 1,309 | $2K | |
| 85018 | <1% | 754 | $1K | |
| 99051 | <1% | 59 | $1K | |
| 90474 | <1% | 51 | $981.60 | |
| 90671 | <1% | 12 | $923.80 | |
| 90651 | <1% | 88 | $820.38 | |
| 90734 | <1% | 21 | $730.37 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 23 | $459.21 |
| 36415 | Collection of venous blood by venipuncture | <1% | 147 | $375.50 |
| 90670 | <1% | 404 | $239.74 | |
| 90723 | <1% | 16 | $182.21 | |
| 90633 | <1% | 91 | $153.53 | |
| 99177 | <1% | 3,434 | $143.77 | |
| 90648 | <1% | 85 | $23.40 | |
| 36416 | <1% | 641 | $9.48 | |
| 99000 | 0% | 631 | $0.00 | |
| 91307 | 0% | 80 | $0.00 | |
| 90716 | 0% | 20 | $0.00 | |
| 90681 | 0% | 66 | $0.00 | |
| 91300 | 0% | 105 | $0.00 | |
| 99072 | 0% | 153 | $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 officialCASTRO, MARIA (MEMBER/ORGANIZER)