W. Stanley Rule, MD

W. Stanley Rule, MD was paid $397K by Medicaid between Jan 2018 and Dec 2018, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoW. STANLEY RULE, MD
MOREHEAD CITY, NC 28557

33aNPI1881720811assigned 02/26/2007

33bProvider typePediatrics Physician

28Total paid$397K

24GClaims11,384

24DCodes billed33

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#268 of 433

Median peer was paid$942K

This provider vs. median0.4×

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	11,384	$397K

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	36%	1,889	1,707	$144K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	2,069	1,900	$105K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.9%	278	254	$27K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.9%	1,026	964	$19K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.7%	253	240	$18K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.6%	253	242	$18K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.9%	209	199	$15K
90472	Immunization administration, each additional vaccine (list separately)	3.2%	398	386	$13K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.4%	1,113	1,079	$9K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	452	438	$6K
D0145	Oral evaluation for a patient under three years of age	1.5%	174	174	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.0%	59	56	$4K

21 more codes

99354		<1%	32	$3K
D1206	Topical application of fluoride varnish	<1%	172	$3K
90473		<1%	83	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	12	$947.65
99462		<1%	39	$940.45
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	$482.50
96161		<1%	101	$359.04
90474		<1%	13	$265.85
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	25	$254.50
90686		<1%	249	$248.36
85018		<1%	552	$154.76
99070		<1%	13	$122.46
92551		<1%	825	$107.10
90672		<1%	93	$70.92
99173		<1%	836	$43.00
90688		<1%	18	$32.70
90647		0%	15	$0.00
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	0%	13	$0.00
90723		0%	24	$0.00
90685		0%	19	$0.00
90670		0%	62	$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 officialRULE, WILLIAM (M.D., OWNER)