Physician
Unifour Pediatrics, PA
Unifour Pediatrics, PA was paid $15.27M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoUNIFOUR PEDIATRICS, PA
CONOVER, NC 28613
CONOVER, NC 28613
33aNPI1770782450assigned 07/13/2007
33bProvider typePediatrics Physician
28Total paid$15.27M
24GClaims950,795
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#18 of 433
Median peer was paid$942K
This provider vs. median16×
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 | 86,532 | $1.70M | |
| 2019 | 74,971 | $1.79M | |
| 2020 | 64,226 | $1.65M | |
| 2021 | 138,534 | $2.37M | |
| 2022 | 195,942 | $2.71M | |
| 2023 | 194,384 | $2.57M | |
| 2024incomplete | 196,206 | $2.48M |
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 | 30% | 82,113 | 67,300 | $4.55M |
| 99199 | Unlisted special service, procedure or report | 16% | 415,942 | 244,252 | $2.43M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 15,221 | 12,891 | $1.21M |
| 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 | 7.0% | 12,855 | 11,107 | $1.07M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 11,300 | 9,539 | $882K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 9,105 | 7,705 | $748K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 34,407 | 29,237 | $621K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 19,588 | 16,629 | $576K |
| 87428 | 2.4% | 6,705 | 5,598 | $367K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 3,882 | 3,254 | $352K |
| 99401 | 1.8% | 11,169 | 7,812 | $277K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 34,742 | 29,201 | $274K |
71 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 8,665 | $261K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 15,503 | $190K |
| 96160 | 1.1% | 54,300 | $174K | |
| 99460 | <1% | 1,995 | $136K | |
| 85027 | <1% | 17,378 | $118K | |
| D1206 | Topical application of fluoride varnish | <1% | 8,658 | $115K |
| 99050 | <1% | 5,865 | $99K | |
| 87081 | <1% | 13,555 | $83K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,756 | $75K |
| 87275 | <1% | 5,928 | $75K | |
| 87276 | <1% | 5,913 | $75K | |
| 96127 | <1% | 16,988 | $63K | |
| 90474 | <1% | 3,220 | $60K | |
| 99462 | <1% | 1,703 | $53K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,345 | $52K |
| 80061 | Lipid panel | <1% | 2,921 | $41K |
| 0002A | <1% | 871 | $33K | |
| 0001A | <1% | 772 | $29K | |
| 87807 | <1% | 1,741 | $22K | |
| 0072A | <1% | 503 | $20K | |
| 0071A | <1% | 515 | $17K | |
| 81003 | <1% | 8,643 | $13K | |
| 90677 | <1% | 984 | $13K | |
| 83655 | <1% | 1,039 | $12K | |
| 92551 | <1% | 19,111 | $11K | |
| 92587 | <1% | 2,742 | $10K | |
| 90651 | <1% | 491 | $8K | |
| 82247 | <1% | 1,321 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 714 | $7K |
| 90686 | <1% | 9,397 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,524 | $6K |
| 97803 | <1% | 82 | $6K | |
| 99173 | <1% | 25,003 | $5K | |
| 90734 | <1% | 217 | $5K | |
| 96161 | <1% | 1,749 | $4K | |
| 85007 | <1% | 1,005 | $4K | |
| 0004A | <1% | 67 | $3K | |
| 0074A | <1% | 30 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 145 | $1K |
| 0082A | <1% | 18 | $910.00 | |
| 90697 | <1% | 1,000 | $870.70 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 24 | $864.14 |
| 90688 | <1% | 98 | $752.10 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 60 | $694.26 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 101 | $560.34 |
| 54150 | <1% | 17 | $428.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 18 | $364.99 |
| 90656 | <1% | 650 | $258.21 | |
| 36416 | <1% | 21,372 | $210.97 | |
| 90670 | <1% | 7,097 | $184.75 | |
| 90621 | <1% | 93 | $169.39 | |
| 90716 | <1% | 165 | $137.00 | |
| 91300 | <1% | 1,845 | $129.08 | |
| 90715 | <1% | 58 | $86.50 | |
| 94760 | <1% | 1,553 | $82.80 | |
| 90633 | <1% | 1,235 | $69.86 | |
| 90744 | <1% | 859 | $23.90 | |
| 81015 | <1% | 81 | $14.96 | |
| 90698 | <1% | 3,287 | $1.16 | |
| 90619 | <1% | 182 | $0.17 | |
| 90380 | <1% | 42 | $0.05 | |
| 91308 | <1% | 51 | $0.03 | |
| 90680 | 0% | 3,279 | $0.00 | |
| 91307 | 0% | 1,080 | $0.00 | |
| 90696 | 0% | 120 | $0.00 | |
| 94761 | 0% | 104 | $0.00 | |
| 90647 | 0% | 38 | $0.00 | |
| 90685 | 0% | 624 | $0.00 | |
| 90707 | 0% | 157 | $0.00 | |
| 90700 | 0% | 38 | $0.00 | |
| 90710 | 0% | 61 | $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 officialHUFFMAN, SUSAN (PRACTICE ADMINISTRATOR)