Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH LAKE PEDIATRICS

NPI: 1740755610 · DENVER, NC 28037 · Pediatrics Physician · NPI assigned 10/08/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more

$56K
Total Medicaid Paid
4,122
Total Claims
2,970
Beneficiaries
11
Codes Billed
2018-11
First Month
2023-10
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationSOUTH LAKE PEDIATRICS
NPI Enumeration Date10/08/2018

Related Entities

Other providers sharing the same authorized official: LAYMON, THOMAS

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $11.74M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $2.17M
SOUTH LAKE PEDIATRICS CHARLOTTE NC $1.93M
LINCOLN FAMILY PRACTICE LINCOLNTON NC $1.31M
COX ROAD URGENT CARE GASTONIA NC $1.14M
CAROLINAS PHYSICIANS NETWORK INC LINCOLNTON NC $1.11M
CAROLINAS PHYSICIANS NETWORK INC CHINA GROVE NC $857K
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $225K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $198K
UNIVERSITY PEDIATRICS MINT HILL NC $191K
CAROLINAS-ANSON HEALTHCARE INC. WADESBORO NC $124K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $124K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $68K
CAROLINAS PHYSICIANS NETWORK, INC. FOREST CITY NC $27K
CAROLINAS PHYSICIANS NETWORK, INC. BESSEMER CITY NC $19K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY LINCOLNTON NC $13K
CAROLINAS PHYSICIANS NETWORK INC FOREST CITY NC $11K
CAROLINAS PHYSICIANS NETWORK INC INDIAN TRAIL NC $10K
CAROLINAS PHYSICIANS NETWORK INC RUTHERFORDTON NC $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $700.38
2019 448 $23K
2020 463 $15K
2021 459 $4K
2022 1,417 $7K
2023 1,321 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 407 344 $24K
99199 Unlisted special service, procedure or report 3,158 2,125 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 92 78 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 186 168 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22 18 $2K
90472 Immunization administration, each additional vaccine (list separately) 46 43 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19 15 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 37 33 $320.76
96127 49 46 $180.13
90686 77 71 $71.60
99173 29 29 $0.00