Physician
Kids Count Pediatrics, PLLC
Kids Count Pediatrics, PLLC was paid $796K by Medicaid between Jan 2018 and Jun 2019, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoKIDS COUNT PEDIATRICS, PLLC
ELKIN, NC 28621
ELKIN, NC 28621
33aNPI1740429844assigned 02/12/2009
33bProvider typePediatrics Physician
28Total paid$796K
24GClaims22,719
24DCodes billed44
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#229 of 433
Median peer was paid$942K
This provider vs. median0.8×
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 | 15,872 | $533K | |
| 2019 | 6,847 | $263K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 2,780 | 2,552 | $223K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,799 | 2,513 | $153K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 830 | 699 | $86K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.1% | 853 | 580 | $65K |
| 99354 | 6.5% | 637 | 528 | $52K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.0% | 770 | 718 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 415 | 388 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 355 | 332 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 358 | 343 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 1,294 | 1,204 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 1,155 | 1,097 | $16K |
| 96127 | 1.2% | 2,337 | 1,738 | $10K |
32 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 628 | $9K |
| 99050 | 1.1% | 381 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 1,137 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 100 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 189 | $6K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 50 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 221 | $3K |
| 92551 | <1% | 1,174 | $2K | |
| 99406 | <1% | 246 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 108 | $1K |
| 90473 | <1% | 271 | $1K | |
| 87807 | <1% | 86 | $1K | |
| 99051 | <1% | 45 | $1K | |
| 90686 | <1% | 314 | $446.85 | |
| 96160 | <1% | 128 | $441.32 | |
| 96161 | <1% | 32 | $108.46 | |
| 90715 | <1% | 14 | $43.25 | |
| 81003 | <1% | 13 | $36.01 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $27.00 |
| 99173 | <1% | 1,270 | $11.00 | |
| 94760 | <1% | 526 | $10.35 | |
| 90680 | 0% | 179 | $0.00 | |
| 90744 | 0% | 71 | $0.00 | |
| 90647 | 0% | 193 | $0.00 | |
| 90660 | 0% | 34 | $0.00 | |
| 36416 | 0% | 13 | $0.00 | |
| 90670 | 0% | 361 | $0.00 | |
| 90713 | 0% | 73 | $0.00 | |
| 90700 | 0% | 187 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90633 | 0% | 49 | $0.00 | |
| 90734 | 0% | 16 | $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 officialSPARKS, MELISSA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Nicole Powell, DDS, PLLC | Searcy, AR | $1.48M |
| Dallas Medical Physician Group | Dallas, TX | $300K |
| Integrity MD PLLC | Mesquite, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.