Physician
Fayetteville Children's Clinic, P.A.
Fayetteville Children's Clinic, P.A. was paid $428K by Medicaid between Jan 2018 and Jan 2023, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoFAYETTEVILLE CHILDREN'S CLINIC, P.A.
FAYETTEVILLE, NC 28305
FAYETTEVILLE, NC 28305
33aNPI1730270448assigned 09/27/2006
33bProvider typePediatrics Physician
28Total paid$428K
24GClaims10,027
24DCodes billed28
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#263 of 433
Median peer was paid$942K
This provider vs. median0.5×
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 | 4,143 | $160K | |
| 2019 | 3,303 | $147K | |
| 2020 | 1,691 | $72K | |
| 2021 | 733 | $39K | |
| 2022 | 121 | $8K | |
| 2023 | 36 | $3K |
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 | 41% | 2,882 | 2,662 | $177K |
| 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 | 24% | 1,144 | 1,064 | $102K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.2% | 2,101 | 1,960 | $40K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 350 | 333 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 279 | 274 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.0% | 593 | 569 | $21K |
| 99460 | 3.2% | 181 | 149 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 533 | 253 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 95 | 79 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 141 | 137 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 352 | 347 | $3K |
| 87430 | <1% | 123 | 121 | $2K |
16 more codes
| D1206 | Topical application of fluoride varnish | <1% | 141 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $1K |
| 90686 | <1% | 80 | $89.51 | |
| 96127 | <1% | 17 | $49.06 | |
| 85018 | <1% | 16 | $12.28 | |
| 99173 | <1% | 79 | $8.00 | |
| 94760 | <1% | 182 | $2.07 | |
| 92551 | <1% | 24 | $1.00 | |
| 90658 | 0% | 373 | $0.00 | |
| 90670 | 0% | 33 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90657 | 0% | 53 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| 90698 | 0% | 27 | $0.00 | |
| 36416 | 0% | 157 | $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 officialKELLY, WILLIAM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| William M Kelly M.D., INC | Palm Desert, CA | $2.18M |
| Exosome Diagnostics, INC. | Waltham, MA | $311K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.