Physician
Fayetteville Area Health Education Foundation INC
Fayetteville Area Health Education Foundation INC was paid $4.15M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoFAYETTEVILLE AREA HEALTH EDUCATION FOUNDATION INC
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1811072812assigned 10/26/2006
33bProvider typePediatric Cardiology Physician
28Total paid$4.15M
24GClaims382,805
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in North Carolina
Rank by total paid#2 of 16
Median peer was paid$132K
This provider vs. median32×
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 | 7,340 | $255K | |
| 2019 | 8,860 | $367K | |
| 2020 | 12,103 | $380K | |
| 2021 | 44,903 | $618K | |
| 2022 | 91,896 | $733K | |
| 2023 | 96,113 | $734K | |
| 2024incomplete | 121,590 | $1.06M |
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 | 28% | 25,465 | 21,762 | $1.17M |
| 99199 | Unlisted special service, procedure or report | 27% | 172,454 | 102,983 | $1.12M |
| 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 | 25% | 17,622 | 14,361 | $1.06M |
| 99499 | 10% | 1,086 | 705 | $420K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.1% | 2,836 | 1,461 | $213K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,438 | 1,257 | $22K |
| 99205 | Prolong outpt/office vis | <1% | 155 | 120 | $18K |
| 99245 | <1% | 101 | 89 | $16K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,765 | 1,581 | $12K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 100 | 86 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,443 | 1,304 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 282 | 106 | $9K |
52 more codes
| 80061 | Lipid panel | <1% | 818 | $9K |
| 99243 | <1% | 69 | $7K | |
| 90686 | <1% | 660 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 106 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 115 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,963 | $4K |
| 96127 | <1% | 740 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 185 | $3K |
| 99170 | <1% | 35 | $3K | |
| 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% | 1,342 | $3K |
| 0011A | <1% | 41 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 364 | $2K |
| 0001A | <1% | 50 | $2K | |
| 0012A | <1% | 31 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 37 | $2K |
| 82962 | <1% | 1,214 | $2K | |
| 97802 | <1% | 27 | $2K | |
| 0002A | <1% | 32 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 235 | $2K |
| 95251 | <1% | 112 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 99051 | <1% | 58 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 26 | $1K |
| 82951 | <1% | 54 | $841.64 | |
| 85027 | <1% | 73 | $433.51 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $387.55 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $143.03 |
| 81025 | <1% | 13 | $93.60 | |
| 82952 | <1% | 16 | $77.44 | |
| 3044F | <1% | 1,049 | $60.43 | |
| 92551 | <1% | 32 | $24.06 | |
| 36416 | <1% | 1,358 | $12.98 | |
| 91300 | <1% | 57 | $11.02 | |
| 99173 | <1% | 15 | $4.27 | |
| 3074F | <1% | 21,929 | $1.52 | |
| 1160F | <1% | 18,970 | $1.15 | |
| 1159F | <1% | 19,024 | $1.15 | |
| 3078F | <1% | 16,633 | $1.14 | |
| 3079F | <1% | 11,031 | $0.98 | |
| 3077F | <1% | 3,114 | $0.41 | |
| 3075F | <1% | 2,708 | $0.36 | |
| 1126F | <1% | 725 | $0.26 | |
| 1125F | <1% | 571 | $0.15 | |
| 3080F | <1% | 666 | $0.12 | |
| 3725F | 0% | 2,353 | $0.00 | |
| 2028F | 0% | 336 | $0.00 | |
| 82951QW | 0% | 24 | $0.00 | |
| 1036F | 0% | 21,491 | $0.00 | |
| 3008F | 0% | 26,668 | $0.00 | |
| 3011F | 0% | 726 | $0.00 | |
| 91301 | 0% | 88 | $0.00 | |
| 3500F | 0% | 30 | $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 officialKAPOOR, SUSHMA (PRESIDENT & CEO)