Physician
Carolina Child Neurology, PLLC
Carolina Child Neurology, PLLC was paid $4.58M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoCAROLINA CHILD NEUROLOGY, PLLC
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1780014761assigned 11/12/2013
28Total paid$4.58M
24GClaims39,796
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology with Special Qualifications in Child Neurology Physician providers in North Carolina
Rank by total paid#1 of 9
Median peer was paid$85K
This provider vs. median54×
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 | 6,031 | $727K | |
| 2019 | 5,955 | $721K | |
| 2020 | 4,481 | $508K | |
| 2021 | 6,270 | $702K | |
| 2022 | 6,231 | $717K | |
| 2023 | 5,598 | $619K | |
| 2024incomplete | 5,230 | $587K |
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 | 39% | 23,312 | 21,264 | $1.78M |
| 99245 | 20% | 5,638 | 4,919 | $935K | |
| 95813 | 17% | 3,772 | 3,447 | $796K | |
| 95812 | 9.8% | 2,760 | 2,526 | $447K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.1% | 3,605 | 3,197 | $372K |
| 95951 | 2.6% | 104 | 62 | $119K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.4% | 456 | 381 | $63K |
| 95714 | 1.2% | 65 | 24 | $57K | |
| 95816 | <1% | 37 | 31 | $6K | |
| 95720 | <1% | 13 | 12 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 17 | 12 | $742.10 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 17 | 13 | $695.08 |
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 officialINDULKAR, SHALAKA (MEMBER AND ORGANIZER)