Physician
Pediatric After Hours Care of Fayetteville
Pediatric After Hours Care of Fayetteville was paid $894K by Medicaid between Oct 2018 and Apr 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPEDIATRIC AFTER HOURS CARE OF FAYETTEVILLE
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1861986267assigned 06/19/2018
33bProvider typePediatrics Physician
28Total paid$894K
24GClaims20,607
24DCodes billed15
24AFirst – last monthOct 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#223 of 433
Median peer was paid$942K
This provider vs. median0.9×
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 | 466 | $17K | |
| 2019 | 2,653 | $110K | |
| 2020 | 2,862 | $140K | |
| 2021 | 4,969 | $209K | |
| 2022 | 5,678 | $237K | |
| 2023 | 2,951 | $132K | |
| 2024incomplete | 1,028 | $49K |
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 | 38% | 5,305 | 4,140 | $336K |
| 99051 | 23% | 8,601 | 6,776 | $208K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 1,989 | 1,715 | $178K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.6% | 632 | 534 | $41K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.0% | 586 | 513 | $36K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.6% | 1,185 | 985 | $32K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2.3% | 166 | 148 | $21K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.6% | 481 | 337 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 319 | 249 | $11K |
| 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 | <1% | 74 | 55 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 287 | 136 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 51 | 50 | $3K |
3 more codes
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 officialHODGES, ANA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Legacy Pediatrics | Fayetteville, NC | $2.81M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.