Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › PEMBROKE › CHILDREN'S HEALTH OF CAROLINA, PA

CHILDREN'S HEALTH OF CAROLINA, PA

NPI: 1750345286 · PEMBROKE, NC 28372 · Pediatrics Physician · NPI assigned 04/13/2006

$18.18M
Total Medicaid Paid
974,917
Total Claims
675,726
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEALY, LAURA (BUSINESS MANAGER)
Parent OrganizationCHILDREN'S HEALTH OF CAROLINA PA
NPI Enumeration Date04/13/2006

Related Entities

Other providers sharing the same authorized official: SEALY, LAURA

ProviderCityStateTotal Paid
CHILDREN'S HEALTH OF CAROLINA, PA LUMBERTON NC $89.47M
CHILDREN'S HEALTH OF CAROLINA, PA FAYETTEVILLE NC $7.66M
CHILDREN'S HEALTH OF CAROLINA, PA RAEFORD NC $4.98M
CHILDREN'S HEALTH OF CAROLINA, PA FAIRMONT NC $103K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49,829 $1.49M
2019 52,821 $1.78M
2020 47,003 $1.75M
2021 156,517 $3.17M
2022 266,288 $3.81M
2023 236,041 $3.76M
2024 166,418 $2.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90,984 73,979 $5.29M
99199 Unlisted special service, procedure or report 530,778 311,685 $3.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,535 15,704 $1.70M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,719 11,907 $1.22M
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 23,476 18,126 $1.04M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,137 10,070 $1.01M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,336 7,081 $744K
90472 Immunization administration, each additional vaccine (list separately) 17,870 15,574 $671K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,888 5,004 $563K
87400 24,843 16,786 $516K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27,140 23,651 $512K
D0145 Oral evaluation for a patient under three years of age 7,611 6,617 $260K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 19,865 16,542 $252K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,708 5,187 $251K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 889 876 $227K
96110 Developmental screening, with scoring and documentation, per standardized instrument 15,925 13,756 $144K
D1206 Topical application of fluoride varnish 7,849 6,756 $116K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,572 7,678 $76K
87807 5,230 3,985 $63K
90474 2,917 2,484 $57K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,394 2,781 $51K
83655 3,287 2,784 $44K
80061 Lipid panel 2,776 2,275 $40K
E0570 Nebulizer, with compressor 229 211 $30K
95117 3,400 1,529 $29K
96161 7,599 6,111 $25K
92551 15,007 12,592 $22K
96127 5,161 4,297 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 158 132 $14K
83036 Hemoglobin; glycosylated (A1C) 1,214 982 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 100 67 $10K
95024 143 111 $10K
81025 879 652 $6K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 30 29 $5K
A7006 Administration set, with small volume filtered pneumatic nebulizer 521 472 $5K
99381 76 59 $4K
81003 1,683 1,299 $4K
0071A 104 57 $3K
82962 1,129 902 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 80 79 $2K
85018 1,092 890 $2K
88720 394 241 $2K
99173 16,885 14,192 $2K
90651 2,493 2,162 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 26 25 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 138 118 $1K
99070 162 148 $1K
90734 2,023 1,726 $1K
99051 52 38 $1K
90620 818 658 $1K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 28 28 $1K
99401 54 32 $802.47
90677 872 695 $798.07
J0696 Injection, ceftriaxone sodium, per 250 mg 196 151 $756.02
90656 150 145 $629.44
94664 40 31 $385.77
94760 7,491 6,280 $299.53
94010 12 12 $281.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg 227 175 $140.03
90686 3,671 3,240 $104.26
90723 6,984 6,112 $97.04
86308 12 12 $71.14
36415 Collection of venous blood by venipuncture 29 25 $70.20
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $68.32
90633 4,699 4,131 $35.80
90647 6,764 5,892 $29.83
90715 575 522 $0.01
90707 1,008 842 $0.00
90670 8,447 7,444 $0.00
90710 743 616 $0.00
90700 651 541 $0.00
90681 3,031 2,574 $0.00
J7510 Prednisolone oral, per 5 mg 13 13 $0.00
90685 123 113 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 350 293 $0.00
90716 1,115 947 $0.00
99000 2,139 1,626 $0.00
S8110 Peak expiratory flow rate (physician services) 3,412 1,579 $0.00
90696 621 510 $0.00
91307 122 65 $0.00