Physician
Carolina Children's Heart Specialists
Carolina Children's Heart Specialists was paid $3.14M by Medicaid between Jan 2018 and Sep 2024, across 22 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 27% of everything it billed.
33Billing provider infoCAROLINA CHILDREN'S HEART SPECIALISTS
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1912354374assigned 05/16/2016
33bProvider typePediatrics Physician
28Total paid$3.14M
24GClaims44,988
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#120 of 433
Median peer was paid$942K
This provider vs. median3.3×
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 | 4,931 | $362K | |
| 2019 | 5,128 | $410K | |
| 2020 | 5,734 | $468K | |
| 2021 | 8,532 | $574K | |
| 2022 | 8,857 | $552K | |
| 2023 | 7,049 | $419K | |
| 2024incomplete | 4,757 | $355K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 27% | 5,142 | 4,277 | $856K |
| 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 | 20% | 6,893 | 5,756 | $618K |
| 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 | 15% | 3,842 | 3,092 | $486K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 9.7% | 2,331 | 1,916 | $303K |
| 93000 | 5.9% | 13,168 | 10,987 | $184K | |
| 93320 | 5.2% | 3,418 | 2,820 | $164K | |
| 93325 | 4.1% | 3,994 | 3,316 | $129K | |
| 99205 | Prolong outpt/office vis | 3.8% | 661 | 629 | $120K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 863 | 800 | $106K |
| 93304 | 2.1% | 739 | 638 | $66K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 346 | 292 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 220 | 161 | $17K |
10 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 officialFAIRBROTHER, DAVID (PRESIDENT)