Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › FAYETTEVILLE › FAYETTEVILLE CHILDREN'S CLINIC, P.A.

FAYETTEVILLE CHILDREN'S CLINIC, P.A.

NPI: 1730270448 · FAYETTEVILLE, NC 28305 · Pediatrics Physician · NPI assigned 09/27/2006

$428K
Total Medicaid Paid
10,027
Total Claims
9,117
Beneficiaries
28
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialKELLY, WILLIAM (PRESIDENT)
NPI Enumeration Date09/27/2006

Related Entities

Other providers sharing the same authorized official: KELLY, WILLIAM

ProviderCityStateTotal Paid
WILLIAM M KELLY M.D., INC PALM DESERT CA $2.18M
EXOSOME DIAGNOSTICS, INC. WALTHAM MA $311K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,143 $160K
2019 3,303 $147K
2020 1,691 $72K
2021 733 $39K
2022 121 $8K
2023 36 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,882 2,662 $177K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,144 1,064 $102K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,101 1,960 $40K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 350 333 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 279 274 $22K
90472 Immunization administration, each additional vaccine (list separately) 593 569 $21K
99460 181 149 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 533 253 $7K
99238 Hospital discharge day management, 30 minutes or less 95 79 $5K
D0145 Oral evaluation for a patient under three years of age 141 137 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 352 347 $3K
87430 123 121 $2K
D1206 Topical application of fluoride varnish 141 137 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32 28 $1K
90686 80 73 $89.51
96127 17 12 $49.06
85018 16 15 $12.28
99173 79 77 $8.00
94760 182 170 $2.07
92551 24 24 $1.00
90658 373 342 $0.00
90670 33 33 $0.00
90707 13 13 $0.00
90657 53 52 $0.00
90680 14 14 $0.00
90698 27 27 $0.00
36416 157 140 $0.00