Physician
Carolina Pediatrics at Rock Hill LLC
Carolina Pediatrics at Rock Hill LLC was paid $939K by Medicaid between Feb 2021 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoCAROLINA PEDIATRICS AT ROCK HILL LLC
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1780270744assigned 12/14/2020
33bProvider typePediatrics Physician
28Total paid$939K
24GClaims18,532
24DCodes billed30
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#58 of 471
Median peer was paid$18K
This provider vs. median53×
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 | |
|---|---|---|---|
| 2021 | 2,421 | $107K | |
| 2022 | 4,917 | $247K | |
| 2023 | 5,388 | $287K | |
| 2024incomplete | 5,806 | $298K |
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 | 24% | 2,458 | 2,159 | $227K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,605 | 2,247 | $161K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 1,752 | 1,738 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 888 | 873 | $80K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 769 | 768 | $72K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.9% | 2,343 | 2,124 | $65K |
| G9153 | Mapcp demonstration - physician incentive pool | 5.5% | 739 | 739 | $52K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.5% | 864 | 783 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 1,848 | 1,709 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 663 | 627 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 194 | 194 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 147 | 147 | $13K |
18 more codes
| 87807 | 1.3% | 1,033 | $12K | |
| 99381 | <1% | 28 | $3K | |
| 90461 | <1% | 130 | $2K | |
| 96127 | <1% | 264 | $2K | |
| 0072A | <1% | 16 | $336.00 | |
| 0071A | <1% | 14 | $294.00 | |
| 94664 | <1% | 14 | $178.08 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16 | $128.06 |
| 90670 | 0% | 322 | $0.00 | |
| 90671 | 0% | 98 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| 90680 | 0% | 376 | $0.00 | |
| 90723 | 0% | 409 | $0.00 | |
| 90647 | 0% | 360 | $0.00 | |
| 90688 | 0% | 14 | $0.00 | |
| 90677 | 0% | 91 | $0.00 | |
| 90716 | 0% | 39 | $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 officialPAXTOR, CARLOS (PEDIATRICIAN/PROVIDER)