Cross Creek Pediatrics
Cross Creek Pediatrics was paid $690K by Medicaid between Jan 2018 and Jan 2023, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCROSS CREEK PEDIATRICS
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1831279215assigned 10/17/2006
33bProvider typeSpecialist
28Total paid$690K
24GClaims31,497
24DCodes billed41
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#45 of 172
Median peer was paid$83K
This provider vs. median8.4×
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 | 6,042 | $155K | |
| 2019 | 6,305 | $182K | |
| 2020 | 4,162 | $125K | |
| 2021 | 8,247 | $152K | |
| 2022 | 6,634 | $76K | |
| 2023 | 107 | $275.00 |
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 | 29% | 3,618 | 3,143 | $202K |
| 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 | 27% | 2,396 | 2,012 | $183K |
| 99199 | Unlisted special service, procedure or report | 7.9% | 8,748 | 6,962 | $54K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.7% | 2,991 | 2,413 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 456 | 397 | $37K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.2% | 785 | 669 | $29K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 1,452 | 681 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 224 | 204 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 221 | 185 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 1,040 | 982 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 401 | 283 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 129 | 97 | $12K |
29 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 162 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 1,552 | $11K |
| 80061 | Lipid panel | <1% | 443 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 162 | $5K |
| 96127 | <1% | 934 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 35 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 162 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 33 | $953.25 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 51 | $708.51 |
| 85018 | <1% | 1,667 | $525.91 | |
| 92552 | <1% | 138 | $506.48 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $263.10 |
| 90474 | <1% | 14 | $257.64 | |
| 90651 | <1% | 14 | $220.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $160.24 |
| 81002 | <1% | 380 | $44.06 | |
| 96161 | <1% | 50 | $43.40 | |
| 96160 | <1% | 23 | $11.79 | |
| 99173 | <1% | 1,288 | $10.00 | |
| 88738 | <1% | 17 | $6.34 | |
| 90734 | 0% | 13 | $0.00 | |
| 90681 | 0% | 26 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 23 | $0.00 |
| 90670 | 0% | 115 | $0.00 | |
| 92551 | 0% | 1,166 | $0.00 | |
| 90688 | 0% | 278 | $0.00 | |
| 90698 | 0% | 120 | $0.00 | |
| 90686 | 0% | 126 | $0.00 | |
| 90680 | 0% | 13 | $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 officialAPPEL, BARBARA (OWNER)