Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Chapel Hill › NPI 1780669200
Physician

University of North Carolina at Chapel Hill

University of North Carolina at Chapel Hill was paid $87.61M by Medicaid between Jan 2018 and Dec 2024, across 410 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 11% of everything it billed.

33Billing provider infoUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
CHAPEL HILL, NC 27514
33aNPI1780669200assigned 12/07/2005
33bProvider typePediatrics Physician
28Total paid$87.61M
24GClaims1,849,835
24DCodes billed410
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#2 of 433
Median peer was paid$942K
This provider vs. median93×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BROWN, LATONYA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
2018227,405$10.11M
2019236,381$11.51M
2020197,336$10.07M
2021263,896$12.18M
2022283,291$13.39M
2023307,038$15.39M
2024incomplete334,488$14.97M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 11% 173,916 149,004 $9.91M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 8.5% 22,607 5,149 $7.43M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 5.8% 16,471 4,377 $5.09M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.7% 46,057 40,547 $5.02M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.5% 70,661 21,820 $4.85M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.1% 51,056 44,334 $4.43M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.9% 53,838 45,905 $4.25M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 92,818 80,033 $3.82M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.4% 29,651 25,967 $2.12M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.4% 14,848 5,075 $2.07M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.8% 35,793 12,605 $1.61M
99244 Office or other outpatient consultation, moderate to high complexity 1.8% 12,200 10,801 $1.56M
398 more codes
88305 Level IV - Surgical pathology, gross and microscopic examination 1.6% 28,307 $1.43M
99243 1.6% 16,195 $1.41M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.5% 20,314 $1.27M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.4% 14,963 $1.26M
99239 Hospital discharge day management, more than 30 minutes 1.4% 14,448 $1.23M
T1017 Case management, billed per 15 minutes 1.3% 4,424 $1.16M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 22,878 $1.15M
99204 Doctor's office visit, new patient (more involved) 1.2% 9,868 $1.09M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.2% 14,359 $1.06M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.1% 8,026 $981K
99479 Subsequent intensive care, per day, very low birth weight infant 1.1% 9,661 $964K
71045 Radiologic examination, chest; single view <1% 146,456 $830K
99203 Doctor's office visit, new patient (routine) <1% 11,015 $789K
95951 <1% 3,589 $662K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 3,693 $635K
99480 Subsequent intensive care, per day, low birth weight infant <1% 6,368 $621K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 138,236 $601K
95720 <1% 4,550 $600K
99245 <1% 3,777 $563K
99199 Unlisted special service, procedure or report <1% 127,913 $555K
99283 Emergency room visit (moderate) <1% 10,979 $537K
70450 Computed tomography, head or brain; without contrast material <1% 19,586 $483K
76819 Fetal biophysical profile; without non-stress testing <1% 8,073 $430K
93320 <1% 15,284 $424K
90837 Psychotherapy session, about an hour <1% 6,432 $372K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 6,745 $337K
90792 Psychiatric diagnostic evaluation with medical services <1% 3,565 $330K
70551 Magnetic resonance imaging, brain; without contrast material <1% 6,317 $328K
99417 Prolong home eval add 15m <1% 2,235 $316K
99205 Prolong outpt/office vis <1% 2,291 $304K
71046 Radiologic examination, chest; 2 views <1% 42,303 $288K
T2016 A day of residential support for a person with a developmental disability <1% 548 $287K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 2,748 $286K
99460 <1% 3,943 $285K
88307 <1% 4,581 $280K
76770 <1% 10,417 $271K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 6,765 $269K
99238 Hospital discharge day management, 30 minutes or less <1% 5,044 $264K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,430 $255K
74018 <1% 41,008 $244K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15,145 $240K
00170 Anesthesia for intraoral procedures, including biopsy <1% 2,794 $239K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 7,080 $237K
93325 <1% 16,878 $230K
90791 Psychiatric diagnostic evaluation <1% 2,471 $228K
71250 <1% 7,758 $222K
31231 <1% 2,233 $205K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,713 $198K
92060 <1% 5,678 $195K
76801 <1% 2,576 $192K
01922 <1% 1,309 $191K
99223 Prolong inpt eval add15 m <1% 1,266 $188K
59025 Fetal non-stress test <1% 8,413 $180K
83020 <1% 13,294 $174K
90834 Psychotherapy session, about 45 minutes <1% 6,650 $169K
93975 <1% 2,897 $167K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,658 $140K
90935 Hemodialysis procedure with single evaluation by a physician <1% 6,240 $140K
88112 <1% 4,967 $140K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 6,701 $131K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,881 $123K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,765 $122K
93000 <1% 7,989 $118K
88291 <1% 6,297 $112K
92134 <1% 8,402 $107K
93970 <1% 5,355 $105K
S0620 Routine ophthalmological examination including refraction; new patient <1% 1,157 $105K
S0621 Routine ophthalmological examination including refraction; established patient <1% 1,417 $104K
H2023 Supported employment, per 15 minutes <1% 789 $104K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,787 $100K
0002A <1% 1,723 $94K
93295 <1% 3,287 $93K
99242 <1% 1,536 $93K
54150 <1% 682 $91K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 478 $90K
73630 <1% 11,817 $90K
74183 <1% 1,500 $89K
92604 <1% 2,277 $88K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 121 $86K
99051 <1% 3,752 $85K
0001A <1% 1,689 $82K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 3,073 $80K
78815 Positron emission tomography (PET) for limited area imaging <1% 1,257 $80K
93971 <1% 6,156 $78K
99464 <1% 1,147 $70K
92083 <1% 2,043 $68K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,632 $68K
95811 <1% 697 $68K
17110 <1% 949 $66K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,123 $63K
99477 <1% 211 $59K
67028 Intravitreal injection of a pharmacologic agent <1% 1,205 $59K
72082 <1% 4,510 $59K
90870 <1% 1,213 $58K
84165 <1% 6,497 $57K
36512 <1% 1,260 $56K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 515 $56K
99292 <1% 525 $55K
72125 Computed tomography, cervical spine; without contrast material <1% 1,609 $55K
90832 Psychotherapy session, about 30 minutes <1% 1,537 $54K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,053 $51K
86334 <1% 5,709 $51K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 979 $49K
15274 <1% 342 $49K
92370 <1% 7,464 $48K
92133 <1% 2,415 $47K
99468 <1% 69 $47K
99255 <1% 314 $46K
92626 <1% 917 $46K
92015 Determination of refractive state <1% 3,278 $45K
95782 <1% 453 $45K
99443 <1% 926 $44K
92602 <1% 882 $43K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 522 $42K
99462 <1% 1,350 $42K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 32 $40K
29450 <1% 480 $40K
96130 <1% 489 $40K
96131 <1% 441 $40K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,040 $39K
73610 <1% 4,831 $38K
95718 <1% 386 $36K
96137 <1% 487 $36K
88342 <1% 1,241 $35K
43762 <1% 1,275 $33K
76830 Ultrasound, transvaginal <1% 1,399 $33K
31526 <1% 349 $32K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 295 $32K
15273 <1% 433 $31K
96040 <1% 927 $30K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 693 $29K
17108 <1% 93 $29K
54161 <1% 126 $28K
72170 <1% 4,331 $28K
99254 <1% 246 $28K
76506 <1% 1,084 $27K
85390 <1% 2,188 $26K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 64 $26K
72141 <1% 549 $26K
31579 <1% 286 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,461 $25K
00731 <1% 705 $25K
64642 <1% 319 $23K
93297 <1% 2,169 $23K
96116 <1% 330 $23K
76825 <1% 202 $22K
73110 <1% 2,838 $22K
20611 <1% 657 $22K
20610 <1% 745 $22K
73560 <1% 3,423 $21K
64643 <1% 365 $20K
01961 <1% 95 $20K
93926 <1% 2,332 $19K
99418 Prolong nursin fac eval 15m <1% 436 $19K
96101 <1% 208 $19K
73030 <1% 3,252 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,600 $18K
76642 <1% 833 $18K
94010 <1% 3,000 $18K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 328 $17K
74230 <1% 850 $17K
85097 <1% 617 $17K
86077 <1% 557 $17K
L2280 Addition to lower extremity, molded inner boot <1% 60 $17K
99152 <1% 2,624 $16K
92341 <1% 726 $15K
99253 <1% 189 $15K
88312 <1% 256 $15K
90853 Group psychotherapy (other than of a multiple-family group) <1% 542 $14K
77073 <1% 1,279 $14K
31575 <1% 284 $14K
70491 <1% 349 $14K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 337 $14K
96136 <1% 508 $14K
74019 <1% 1,484 $14K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 8,018 $13K
93922 <1% 2,707 $13K
70486 <1% 382 $13K
73564 <1% 1,155 $13K
72100 <1% 1,771 $13K
99221 <1% 155 $13K
90686 <1% 1,937 $12K
95941 <1% 33 $12K
76820 <1% 413 $12K
77072 <1% 1,552 $12K
88304 <1% 1,345 $11K
94375 <1% 1,698 $11K
77014 <1% 415 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 286 $11K
93308 <1% 677 $11K
88350 <1% 138 $11K
97803 <1% 289 $10K
73502 <1% 1,355 $10K
99222 Initial hospital care, per day, moderate complexity <1% 100 $10K
99442 <1% 402 $10K
85060 <1% 788 $10K
0012A <1% 171 $10K
43760 <1% 304 $9K
0011A <1% 191 $9K
G0452 Molecular pathology procedure; physician interpretation and report <1% 14,111 $9K
88160 <1% 631 $9K
96111 <1% 208 $9K
99354 <1% 133 $9K
92567 <1% 714 $9K
93750 <1% 531 $9K
93880 <1% 570 $8K
96127 <1% 2,259 $8K
76827 <1% 213 $8K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 454 $8K
83021 <1% 466 $8K
73590 <1% 1,189 $8K
77066 Tomosynthesis, mammo <1% 378 $8K
92250 <1% 644 $8K
36415 Collection of venous blood by venipuncture <1% 3,582 $8K
77427 <1% 67 $8K
73080 <1% 1,006 $8K
90961 <1% 281 $7K
99217 <1% 174 $7K
76937 <1% 902 $7K
0031A <1% 145 $7K
73130 <1% 912 $6K
81003 <1% 3,725 $6K
99375 <1% 98 $6K
88141 <1% 400 $6K
98968 <1% 125 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 571 $6K
92002 <1% 115 $6K
A4580 Cast supplies (e.g., plaster) <1% 1,789 $6K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 18 $6K
77080 <1% 862 $5K
L2840 Addition to lower extremity orthosis, tibial length sock, fracture or equal, each <1% 96 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 2,362 $5K
95251 <1% 202 $5K
76140 <1% 197 $5K
J0588 Injection, incobotulinumtoxin a, 1 unit <1% 21 $5K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 91 $5K
96133 <1% 28 $5K
88331 <1% 32 $5K
88313 <1% 215 $5K
99407 <1% 553 $5K
80502 <1% 136 $5K
69210 <1% 165 $5K
11900 <1% 160 $5K
77001 <1% 509 $4K
77063 Screening digital breast tomosynthesis, bilateral <1% 201 $4K
73090 <1% 697 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 156 $4K
70260 <1% 307 $4K
94618 <1% 363 $4K
88311 <1% 545 $4K
95816 <1% 122 $4K
72156 <1% 57 $4K
88321 <1% 93 $4K
92523 <1% 26 $4K
73552 <1% 519 $4K
70498 <1% 74 $4K
93294 <1% 228 $3K
72081 <1% 301 $3K
96132 <1% 29 $3K
94729 <1% 940 $3K
J9035 Injection, bevacizumab, 10 mg <1% 148 $3K
72040 <1% 418 $3K
77065 Tomosynthesis, mammo <1% 172 $3K
92202 <1% 3,137 $3K
73120 <1% 471 $3K
99220 <1% 19 $3K
31622 <1% 46 $3K
73523 <1% 196 $3K
73140 <1% 403 $3K
99252 <1% 47 $3K
00635 <1% 31 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 27 $2K
92226 <1% 1,334 $2K
90656 <1% 289 $2K
72158 <1% 30 $2K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 36 $2K
93016 <1% 226 $2K
99050 <1% 147 $2K
72197 <1% 30 $2K
00142 <1% 143 $2K
72050 <1% 185 $2K
72157 <1% 28 $2K
96450 <1% 43 $2K
88346 <1% 98 $2K
88348 <1% 52 $2K
95874 <1% 164 $2K
93018 <1% 265 $2K
97597 <1% 193 $2K
17111 <1% 39 $2K
99308 Subsequent nursing facility care, per day, straightforward <1% 62 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 76 $2K
00920 <1% 16 $2K
88325 <1% 29 $2K
91322 <1% 36 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 179 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 41 $1K
15277 <1% 14 $1K
90847 Family psychotherapy with the patient present, 50 minutes <1% 17 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 53 $1K
00300 <1% 17 $1K
72146 <1% 28 $1K
L3203 Orthopedic shoe, oxford with supinator or pronator, junior <1% 64 $1K
30930 <1% 27 $1K
73522 <1% 108 $1K
95939 <1% 13 $1K
88341 <1% 15 $1K
11100 <1% 42 $1K
00400 <1% 17 $1K
84166 <1% 144 $1K
01996 <1% 45 $1K
95885 <1% 87 $1K
93244 <1% 64 $1K
51798 <1% 118 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 57 $999.33
99401 <1% 36 $963.78
90480 <1% 61 $939.58
70544 <1% 31 $919.71
88189 <1% 21 $877.78
S0280 Medical home program, comprehensive care coordination and planning, initial plan <1% 26 $872.50
95873 <1% 51 $819.02
95938 <1% 46 $800.32
88188 <1% 13 $780.12
81025 <1% 115 $741.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 89 $736.62
99459 <1% 80 $726.91
72132 <1% 26 $721.08
73221 <1% 15 $704.51
90715 <1% 17 $702.74
90472 Immunization administration, each additional vaccine (list separately) <1% 13 $647.25
92225 <1% 253 $637.74
72129 <1% 23 $619.62
70496 <1% 13 $614.27
93888 <1% 37 $605.10
99490 Ccm add 20min <1% 91 $604.06
51784 <1% 13 $595.61
90785 <1% 149 $576.16
76536 <1% 40 $558.29
99441 <1% 29 $488.31
74174 <1% 14 $483.76
99100 <1% 26 $446.18
36620 <1% 16 $438.81
73562 <1% 93 $438.63
77076 <1% 17 $410.34
94060 <1% 33 $383.29
11104 <1% 15 $378.23
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 14 $369.72
70250 <1% 38 $360.84
93321 <1% 75 $354.69
76870 <1% 12 $293.15
11721 <1% 45 $290.97
73503 <1% 28 $280.97
95886 <1% 16 $272.10
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 117 $265.76
92136 <1% 13 $264.90
92285 <1% 437 $227.32
93990 <1% 60 $208.12
82962 <1% 93 $203.14
93248 <1% 15 $202.46
76604 <1% 14 $145.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 945 $130.02
72190 <1% 14 $126.83
88302 <1% 50 $126.09
93925 <1% 13 $119.50
76857 <1% 13 $111.65
72070 <1% 15 $101.96
91200 <1% 12 $95.89
85610 <1% 17 $72.75
99053 <1% 247 $69.08
91065 <1% 13 $59.80
76776 <1% 17 $58.40
76376 <1% 13 $56.17
92201 <1% 1,923 $53.29
91300 <1% 3,425 $38.20
92551 <1% 32 $34.02
81001 <1% 16 $26.77
0298T <1% 24 $25.18
93356 <1% 36 $22.34
11056 <1% 13 $17.21
94760 <1% 162 $16.70
99173 <1% 19 $16.54
91301 <1% 443 $13.36
99406 <1% 14 $10.85
3078F 0% 112 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 493 $0.00
99358 Prolong nursin fac eval 15m 0% 26 $0.00
90670 0% 45 $0.00
99491 Ccm add 20min 0% 121 $0.00
91308 0% 17 $0.00
0479T 0% 22 $0.00
90648 0% 45 $0.00
J1631 Injection, haloperidol decanoate, per 50 mg 0% 14 $0.00
99080 0% 14 $0.00
0500F 0% 605 $0.00
3074F 0% 107 $0.00
99426 0% 49 $0.00
91303 0% 140 $0.00
0503F 0% 56 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 0% 19 $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.

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